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Individual

ROBERT EARL DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5852
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5852

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09127R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1579483
LA
05
1955191
LA
Enumeration date
09/13/2006
Last updated
06/30/2009
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