Healthcare Provider Details

I. General information

NPI: 1669676367
Provider Name (Legal Business Name): LAWSON MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 K ST NW SUITE 6
WASHINGTON DC
20001-5500
US

IV. Provider business mailing address

1135 FIRST COLONIAL RD
VIRGINIA BEACH VA
23454-2402
US

V. Phone/Fax

Practice location:
  • Phone: 202-842-8425
  • Fax: 202-842-8427
Mailing address:
  • Phone: 757-631-6311
  • Fax: 757-631-2659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH L LAWSON
Title or Position: PRESIDENT
Credential:
Phone: 757-621-6264