Healthcare Provider Details

I. General information

NPI: 1457613606
Provider Name (Legal Business Name): SARAH LAWSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 E MCDOWELL RD 2ND FLOOR
PHOENIX AZ
85006-2502
US

IV. Provider business mailing address

925 E MCDOWELL RD 2ND FLOOR
PHOENIX AZ
85006-2502
US

V. Phone/Fax

Practice location:
  • Phone: 602-839-3339
  • Fax: 602-839-3300
Mailing address:
  • Phone: 602-839-3339
  • Fax: 602-839-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR73388
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: