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1225008063 NPI number — RODOLFO EDUARDO LAWSON M.D.

NPI Number: 1225008063
Health Care Provider/Practitioner: RODOLFO EDUARDO LAWSON M.D.

Information about “1225008063” NPI (RODOLFO EDUARDO LAWSON M.D.) exists in 1225008063 in HTML format HTML  |  1225008063 in plain Text format TXT  |  1225008063 in PDF (Portable Document Format) PDF  |  1225008063 in an XML format XML  formats.

NPI Number : 1225008063 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225008063",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAWSON",
    "FirstName": "RODOLFO",
    "MiddleName": "EDUARDO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LAWSON",
    "OtherFirstName": "RODOLFO",
    "OtherMiddleName": "E",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D., P.A.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "7150 W 20TH AVE STE 313",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIALEAH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33016-5532",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "308-820-6000",
    "MailingAddressFaxNumber": "305-364-1295",
    "FirstLinePracticeLocationAddress": "7150 W 20TH AVE STE 313",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIALEAH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33016-5532",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-820-6000",
    "PracticeLocationAddressFaxNumber": "305-364-1295",
    "EnumerationDate": "01/24/2006",
    "LastUpdateDate": "09/04/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "0035484",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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