Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | DA029870A | PA |
NPI | 1619910270 |
---|---|
Provider Name | Dr. Lawson Alan Wilkinson |
First Address | Pittsburgh, PA 15220-3510 |
Second Address | Pittsburgh, PA 15220-3510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 03/06/2016 |