MEDICARE: ROSEMARIE SLADEK-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	208000000X	Pediatrics Physician	6545	NV
2	208000000X	Pediatrics Physician	2009-01991	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	370022157	OTHER	NV	RAILROAD MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942273081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE SLADEK-LAWSON MD

Provider Business Mailing Address
First Line	:	802 GREEN VALLEY RD
Second Line	:	SUITE 210
City	:	GREENSBORO
State	:	NC
Zip	:	27408-7041
Country	:	US
Telephone Number	:	336-802-2536
Fax Number	:	336-802-2534

Provider Business Practice Location Address
First Line	:	1701 WESTCHESTER DR
Second Line	:	SUITE 850
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7008
Country	:	US
Telephone Number	:	336-802-2536
Fax Number	:	336-802-2534

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	01/16/2013

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Directions to “ ROSEMARIE SLADEK-LAWSON MD” Practice Location

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