MEDICARE: DR. LAUREN ANN DAWSON 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	207P00000X	Emergency Medicine Physician	Q1972	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036118950	OTHER	IL	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780887612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN ANN DAWSON M.D.

Provider Business Mailing Address
First Line	:	5700 GRANITE PKWY STE 455
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 GRANITE PKWY STE 455
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6631
Country	:	US
Telephone Number	:	317-694-4115
Fax Number	:

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

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	02/27/2026

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