Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 267752 | MA |
N | 111NI0900X | Internist | 267752 | MA |
Y | 207RH0002X | Hospice and Palliative Medicine | 267752 | MA |
NPI | 1245529726 |
---|---|
Provider Name | Dr. Andrew Lawton |
First Address | Boston, MA 02215 |
Second Address | Boston, MA 02215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 13/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110106191A | (05) | MA |