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NPI Code Detail

MEDICARE: LAWSON SCOTT PAS

MEDICARE:   LAWSON  SCOTT  PAS
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
1363A00000XPhysician AssistantPA17735TX

General Provider Information

NPI Number : 1861109662
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWSON SCOTT PAS
Provider Business Mailing Address
First Line : 2323 N CENTRAL EXPY # 1000
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2323 N CENTRAL EXPY # 1000
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-2712
Country : US
Telephone Number : 214-453-4533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2022
Last Update Date : 03/11/2024

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Directions to “ LAWSON SCOTT PAS” Practice Location

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