MEDICARE: JOHN DOUGLAS LAWSON DO

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	OS013162	PA

General Provider Information

NPI Number	:	1942292313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN DOUGLAS LAWSON DO

Provider Business Mailing Address
First Line	:	PO BOX 40412
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-1255
Country	:	US
Telephone Number	:	248-824-6500
Fax Number	:	855-618-6655

Provider Business Practice Location Address
First Line	:	1055 WESTLAKES DR STE 3152
Second Line	:
City	:	BERWYN
State	:	PA
Zip	:	19312-2410
Country	:	US
Telephone Number	:	215-346-6050
Fax Number	:	215-220-3562

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	09/23/2025

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