MEDICARE: DR. MARVA L LAWSON MD

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	2084P0800X	Psychiatry Physician	W2308	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	W2308	TX
3	2084P0804X	Child & Adolescent Psychiatry Physician	14834	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801997010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARVA L LAWSON MD

Provider Business Mailing Address
First Line	:	2423 WILLIAMS DR STE 107
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-3269
Country	:	US
Telephone Number	:	877-800-5722
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 W BEN WHITE BLVD STE B300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7192
Country	:	US
Telephone Number	:	877-800-5722
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	12/10/2025

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Directions to “ DR. MARVA L LAWSON MD” Practice Location

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