MEDICARE: DR. DAN LAWSON M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	D43908	MD

General Provider Information

NPI Number	:	1518913417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN LAWSON M.D

Provider Business Mailing Address
First Line	:	9018 FAIRVIEW RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4105
Country	:	US
Telephone Number	:	301-992-0534
Fax Number	:

Provider Business Practice Location Address
First Line	:	9018 FAIRVIEW RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4105
Country	:	US
Telephone Number	:	301-992-0534
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	10/08/2009

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