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General NPI Number Information
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NPI Number | 1851343941
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Entity Type | Organization
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Legal Business Name | MIDNIGHT SUN ONCOLOGY, INC.
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 2490 S WOODWORTH LOOP SUITE 499
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City | PALMER
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State | AK
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Zip | 99645-7405
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Country | US
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Telephone | 907-746-7771
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Fax | 907-746-7798
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Provider Business Mailing Address
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Address Line | 2490 S WOODWORTH LOOP SUITE 499
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City | PALMER
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State | AK
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Zip | 99645-7405
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Country | US
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Telephone | 907-746-7771
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Fax | 907-746-7798
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Authorized Official
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Title or Position | PHYSICIAN-OWNER
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Name | DR. LARRY J LAWSON
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Credential | M.D.
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Telephone | 907-746-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 5678
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License Number State | AK
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