| Mr Kenneth Lee Lawson, MD | |
|
385 Ranch Road, Reedsport, OR 97467 | |
| (541) 271-2119 | |
| (541) 271-6344 |
| Full Name | Mr Kenneth Lee Lawson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 385 Ranch Road, Reedsport, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588717516 | NPI | - | NPPES |
| 046404 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD18026 (Oregon) | Primary |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20040528000077 |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20061104000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Lee Lawson, MD 385 Ranch Road, Reedsport, OR 97467 Ph: (541) 271-2119 | Mr Kenneth Lee Lawson, MD 385 Ranch Road, Reedsport, OR 97467 Ph: (541) 271-2119 |
Gregory Shank, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2171 |