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General NPI Number Information
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NPI Number | 1548205511
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Entity Type | Individual
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Provider Name | MEGAN GRACE LAWTON D.P.M., M.S.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 2599 WHITE BEAR AVE N
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City | MAPLEWOOD
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State | MN
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Zip | 55109-5171
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Country | US
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Telephone | 651-770-3891
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Fax |
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Provider Business Mailing Address
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Address Line | 37 APPLE ORCHARD RD
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City | DELLWOOD
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State | MN
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Zip | 55110-1234
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Country | US
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Telephone | 239-784-4029
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3231
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License Number State | FL
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