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General NPI Number Information
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NPI Number | 1831353689
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Entity Type | Organization
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Legal Business Name | LAWSON E. MCCLUNG MD. A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 359 SAN MIGUEL DRIVE SUITE 303
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7847
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Country | US
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Telephone | 949-759-0424
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Fax | 949-272-3779
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Provider Business Mailing Address
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Address Line | 359 SAN MIGUEL DRIVE SUITE 303
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7847
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Country | US
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Telephone | 949-759-0424
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Fax | 949-272-3779
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWSON EUGENE MCCLUNG
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Credential | MD
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Telephone | 949-759-0424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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