Healthcare Provider Details

I. General information

NPI: 1376479279
Provider Name (Legal Business Name): THOMAS TAYLOR LAWSON PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 NAVELLIER ST
EL CERRITO CA
94530-2447
US

IV. Provider business mailing address

1224 NAVELLIER ST
EL CERRITO CA
94530-2447
US

V. Phone/Fax

Practice location:
  • Phone: 510-206-1794
  • Fax:
Mailing address:
  • Phone: 510-206-1794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: