Individual
ANDREW J LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 GRANDVIEW AVE, STE 101, WATERBURY, CT 06708
(203) 756-8911
(203) 574-0548
Mailing address
134 GRANDVIEW AVE, WATERBURY, CT 06708
(203) 756-8911
(203) 574-0548
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
039007
CT
2085U0001X
Diagnostic Ultrasound Physician
037007
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001340075CT
—
CT
01
—
010034007CT01
ANTHEM
—
01
—
0R0365
HEALTHNET
—
01
—
711609
CT CARE
—
01
—
A437740
OXFORD
—
Enumeration date
04/28/2006
Last updated
06/23/2008
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