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Individual

CHARLES R LAWSON

Active
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Individual

CHARLES R LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003018928
MO
207R00000X
Internal Medicine Physician
Primary
G5282
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152338001
AR
05
209070101
MO
01
P00094182
TRAVELERS MEDICARE
Enumeration date
01/11/2006
Last updated
05/14/2024
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