MEDICARE: MIDNIGHT SUN ONCOLOGY, INC.

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	207RH0003X	Hematology & Oncology Physician	5678	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851343941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDNIGHT SUN ONCOLOGY, INC.

Provider Business Mailing Address
First Line	:	2490 S WOODWORTH LOOP
Second Line	:	SUITE 499
City	:	PALMER
State	:	AK
Zip	:	99645-7405
Country	:	US
Telephone Number	:	907-746-7771
Fax Number	:	907-746-7798

Provider Business Practice Location Address
First Line	:	2490 S WOODWORTH LOOP
Second Line	:	SUITE 499
City	:	PALMER
State	:	AK
Zip	:	99645-7405
Country	:	US
Telephone Number	:	907-746-7771
Fax Number	:	907-746-7798

Authorized Official
Title or Position	:	PHYSICIAN-OWNER
Name	:	DR. LARRY J LAWSON
Credential	:	M.D.
Telephone Number	:	907-746-7771

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	05/09/2008

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Directions to “MIDNIGHT SUN ONCOLOGY, INC. ” Practice Location

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