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NPI Code Detail

MEDICARE: ANNA LISA LAWTON PT

MEDICARE:   ANNA LISA  LAWTON  PT
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
1225100000XPhysical Therapist1104714KS
2225100000XPhysical Therapist2013040529MO

General Provider Information

NPI Number : 1932234564
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA LISA LAWTON PT
Provider Business Mailing Address
First Line : 3153 KARNES BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3624
Country : US
Telephone Number : 505-228-0139
Fax Number :
Provider Business Practice Location Address
First Line : 3153 KARNES BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3624
Country : US
Telephone Number : 505-228-0139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 04/22/2016

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Directions to “ ANNA LISA LAWTON PT” Practice Location

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