Individual
ETHAN CHARLES LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 257-3705
Mailing address
1402 S SAGINAW ST, FLINT, MI 48503-3705
(810) 257-3705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XYU993053471
—
MI
Enumeration date
10/14/2018
Last updated
02/25/2026
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