Jonathan Damon Lawless
Family Doctor - Sports Medicine
11120 New Hampshire Ave Ste 411
Silver Spring
, Maryland 20904-2620
Jonathan Damon Lawless
Family Doctor - Sports Medicine
11120 New Hampshire Ave Ste 411
Silver Spring
, Maryland 20904-2620
(301) 754-0505
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jonathan Damon Lawless
- 11120 New Hampshire Ave Ste 411
- Silver Spring, MD
- Zip : 20904-2620
- Phone : (301) 754-0505
Second Address
- Jonathan Damon Lawless
- 11120 New Hampshire Ave Ste 411
- Silver Spring, MD
- Zip : 20904-2620
- Phone : (301) 754-0505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QS0010X | Family Doctor - Sports Medicine | H0083410 | MD |
National Provider Identifier
| NPI | 1053677518 |
|---|---|
| Provider Name | Jonathan Damon Lawless |
| First Address | Silver Spring, MD 20904-2620 |
| Second Address | Silver Spring, MD 20904-2620 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2012 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.