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Individual

DR. DANIELA JEANETTE LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
15887 CUMBERLAND RD, SUITE 104, NOBLESVILLE, IN 46060-4329
(317) 770-4783
(317) 770-4785
Mailing address
15887 CUMBERLAND RD, SUITE 104, NOBLESVILLE, IN 46060-4329
(317) 770-4783
(317) 770-4785

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007812A
IN
332BC3200X
Customized Equipment (DME)
12007812A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669421582
IN
Enumeration date
05/08/2006
Last updated
10/17/2018
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