Individual
S LAWSON DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 HERRICK ST, STE 101 MEDICAL GROUP INC, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057
Mailing address
77 HERRICK ST, SUITE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
216949
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031400
—
MA
Enumeration date
07/13/2006
Last updated
09/24/2013
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