Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E1-0000133 | DE |
Y | 222Z00000X | Podiatrist | E1-0000133 | DE |
NPI | 1063479400 |
---|---|
Provider Name | Dr. Linda L Lawton |
First Address | Smyrna, DE 19977-7728 |
Second Address | Smyrna, DE 19977-7728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 30/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000967517 | (05) | DE |
U75665 | (02) | DE |