Healthcare Provider Details

I. General information

NPI: 1811083785
Provider Name (Legal Business Name): LOUISA EMEFA LAWSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SPRINGRIDGE RD
CLINTON MS
39056-5633
US

IV. Provider business mailing address

135 BRIDGEWATER XING
RIDGELAND MS
39157-8602
US

V. Phone/Fax

Practice location:
  • Phone: 601-713-3900
  • Fax: 601-473-2070
Mailing address:
  • Phone: 601-713-3900
  • Fax: 601-473-2070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14149
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: