| Lawson Medical Management Services, Llc | |
|
127 E Shore Rd Monroe LA 71203-8857 | |
| (318) 396-2715 | |
| (318) 397-4914 |
| Full Name | Lawson Medical Management Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 127 E Shore Rd, Monroe, Louisiana |
| Authorized Official Name and Position | Michael R Lawson (OWNER) |
| Authorized Official Contact | 3183962715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawson Medical Management Services, Llc Po Box 1267 Monroe LA 71210-1267 Ph: (318) 396-2715 | Lawson Medical Management Services, Llc 127 E Shore Rd Monroe LA 71203-8857 Ph: (318) 396-2715 |
| NPI Number | 1679870612 |
|---|---|
| Provider Enumeration Date | 02/25/2011 |
| Last Update Date | 02/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679870612 | NPI | - | NPPES |
| 1016306 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 201463 (Louisiana) | Primary |
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