Individual
WYETH LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 842-3173
Mailing address
130 SARANAC TRL, HENDERSONVILLE, TN 37075-4589
(615) 293-3654
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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