Individual
DR. BRADLEY J. LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13616 E 103RD ST N STE B, OWASSO, OK 74055-4592
(918) 272-4488
(918) 481-7611
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-9341
(918) 494-9355
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28744
OK
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
28744
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200397520A
—
OK
Enumeration date
01/19/2006
Last updated
06/05/2020
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