MEDICARE: YVONNE RODRIGUEZ LAWSON MD

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	207Q00000X	Family Medicine Physician	G47537	CA

General Provider Information

NPI Number	:	1912967233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE RODRIGUEZ LAWSON MD

Provider Business Mailing Address
First Line	:	750 N DIAMOND BAR BLVD
Second Line	:
City	:	DIAMOND BAR
State	:	CA
Zip	:	91765-1023
Country	:	US
Telephone Number	:	626-331-6411
Fax Number	:	626-251-1560

Provider Business Practice Location Address
First Line	:	750 N DIAMOND BAR BLVD
Second Line	:
City	:	DIAMOND BAR
State	:	CA
Zip	:	91765-1023
Country	:	US
Telephone Number	:	626-331-6411
Fax Number	:	626-251-1560

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	09/29/2010

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