Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35.130435 | OH |
NPI | 1033405139 |
---|---|
Provider Name | Dr. Bradley R Lawson |
First Address | Newark, OH 43055 |
Second Address | Newark, OH 43055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 18/03/2021 |