Individual
MARK LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4608 10TH ST, LUBBOCK, TX 79416-4828
(806) 790-8600
Mailing address
4608 10TH ST, LUBBOCK, TX 79416-4828
(806) 790-8600
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
4810-1978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000A56J
—
TX
Enumeration date
06/18/2012
Last updated
06/18/2012
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