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NPI Code Detail

MEDICARE: MR. MICHAEL WILLIAM LAWSON M.S. CCC-SLP

MEDICARE: MR. MICHAEL WILLIAM LAWSON M.S. CCC-SLP
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
1235Z00000XSpeech-Language PathologistLL00002781WA

General Provider Information

NPI Number : 1518109917
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL WILLIAM LAWSON M.S. CCC-SLP
Provider Business Mailing Address
First Line : 1355 W MAIN ST
Second Line :
City : MONROE
State : WA
Zip : 98272-2022
Country : US
Telephone Number : 360-794-4011
Fax Number :
Provider Business Practice Location Address
First Line : 1355 W MAIN ST
Second Line :
City : MONROE
State : WA
Zip : 98272-2022
Country : US
Telephone Number : 360-794-4011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2009
Last Update Date : 03/31/2009

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Directions to “ MR. MICHAEL WILLIAM LAWSON M.S. CCC-SLP” Practice Location

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