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NPI Code Detail

MEDICARE: DR. JOHN LAWRENCE LAWTON D. C.

MEDICARE: DR. JOHN LAWRENCE LAWTON D. C.
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
1111N00000XChiropractor1174MN

General Provider Information

NPI Number : 1861548240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN LAWRENCE LAWTON D. C.
Provider Business Mailing Address
First Line : 1611 COUNTY HIGHWAY 10
Second Line :
City : SPRING LAKE PARK
State : MN
Zip : 55432-2124
Country : US
Telephone Number : 763-784-1540
Fax Number : 763-784-3383
Provider Business Practice Location Address
First Line : 1611 COUNTY HIGHWAY 10
Second Line :
City : SPRING LAKE PARK
State : MN
Zip : 55432-2124
Country : US
Telephone Number : 763-784-1540
Fax Number : 763-784-3383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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