Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 032228 | GA |
NPI | 1033389671 |
---|---|
Provider Name | Dr. Herschel W Lawson |
First Address | Atlanta, GA 30341-3717 |
Second Address | Atlanta, GA 30341-3717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2008 |
Last Update Date | 11/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8241630 | NSHS (01) | WA |
G80939 | (02) | WA |