Individual
DR. RUSSELL K LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 GOLF COURSE ROAD, GRAND RAPIDS, MN 55744
(218) 326-5000
(218) 999-1461
Mailing address
1601 GOLF COURSE ROAD, GRAND ITASCA CLINIC & HOSPITAL, GRAND RAPIDS, MN 55744
(218) 326-5000
(218) 999-1461
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
20043
WI
208800000X
Urology Physician
Primary
49175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30156600
—
WI
Enumeration date
08/25/2005
Last updated
08/13/2012
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