MEDICARE: MR. CHRISTOPHER DOUGLAS LAWSON I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	PTA.0015788	CO

General Provider Information

NPI Number	:	1205787298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER DOUGLAS LAWSON I

Provider Business Mailing Address
First Line	:	6905 GARRISON ST
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-1640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12905 W 40TH AVE STE 515
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-2794
Country	:	US
Telephone Number	:	303-456-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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