Healthcare Provider Details
I. General information
NPI: 1679709786
Provider Name (Legal Business Name): JOSEPH STANLEY LAWTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/03/2009
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 W. FERN DR.
FULLERTON CA
92832-1132
US
IV. Provider business mailing address
601 W. FERN DR.
FULLERTON CA
92832-1132
US
V. Phone/Fax
- Phone: 714-525-1895
- Fax: 714-738-4474
- Phone: 714-525-1895
- Fax: 714-738-4474
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | AFE19151 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: