Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD00035040 | WA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD00035040 | WA |
NPI | 1275699563 |
---|---|
Provider Name | Ian B Lawson |
First Address | Tacoma, WA 98405-1946 |
Second Address | Tacoma, WA 98405-1946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 26/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1301548002 | CIGNA (01) | WA |
162782 | DEPT OF LABOR & INDUSTRIE (01) | WA |
8210189 | (05) | WA |
G50712 | (02) | WA |
LA2374 | REGENCE BLUE SHIELD (01) | WA |