Individual
LAWTON K MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27240 W SAXONY DR, SUITE 201, CHANNAHON, IL 60410-1416
(815) 467-1518
(815) 467-7419
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.122975
IL
207R00000X
Internal Medicine Physician
125-050709
IL
208000000X
Pediatrics Physician
036.122975
IL
208000000X
Pediatrics Physician
125-050709
IL
Other
Enumeration date
06/11/2007
Last updated
03/07/2023
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