Individual
LYDIA R LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 CONSTITUTION AVE NE, PALLIATIVE CARE CONSULTATION SERVICE, ALBUQUERQUE, NM 87110-7613
(505) 559-1133
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93312
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18301
—
NM
Enumeration date
10/03/2006
Last updated
07/16/2008
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