MEDICARE: PATRICK LOUIS 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	4301057090	MI

General Provider Information

NPI Number	:	1821076993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK LOUIS LAWSON M.D.

Provider Business Mailing Address
First Line	:	PSC 482
Second Line	:	BOX 1000
City	:	FPO
State	:	AP
Zip	:	96362-9998
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 482
Second Line	:	BOX 1000
City	:	FPO
State	:	AP
Zip	:	96362-9998
Country	:	US
Telephone Number	:	01181989717555
Fax Number	:

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	09/04/2015

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