Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 1205 | NM |
Y | 111NN0400X | Neurology | 5122 | AZ |
NPI | 1639150980 |
---|---|
Provider Name | Dr. Murray Lawson |
First Address | Prescott, AZ 86303 |
Second Address | Prescott, AZ 86303-6836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2005 |
Last Update Date | 08/07/2007 |