Organization
WELLPOINTE FAMILY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARD M LAWSON PHD (PHD PRESIDENT)
(417) 859-7746
Entity
Organization
Contact information
Practice address
543 W HUBBLE DR, MARSHFIELD, MO 65706-1532
(417) 859-7746
(417) 859-7411
Mailing address
PO BOX 817, CAPE GIRARDEAU, MO 63702-0817
(573) 335-4715
(573) 334-2303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2005
Last updated
02/26/2009
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