Healthcare Provider Details

I. General information

NPI: 1841458700
Provider Name (Legal Business Name): TAMARA DANIELS LAWSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW WALTER REED ARMY MEDICAL CENTER
APO AA
20307-5001
US

IV. Provider business mailing address

6900 GEORGIA AVE NW WALTER REED ARMY MEDICAL CENTER
APO AA
20307-5001
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-0039
  • Fax:
Mailing address:
  • Phone: 202-782-0039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01062329A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: