Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD119697 | MO |
Y | 2080A0000X | Adolescent Medicine | 119697 | MO |
NPI | 1023063807 |
---|---|
Provider Name | Melissa A Lawson |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65201-6626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 13/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1201230 | UNITED HEALTHCARE (01) | MO |
128865 | BLUE SHIELD/BLUE CHOICE (01) | MO |
204683403 | (05) | MO |
2086801901 | KANSAS MEDICAID (01) | KS |
370014794 | RR MEDICARE (01) | MO |
413884 | HEALTHLINK (01) | MO |
H00950 | (02) |