Provider Demographics
NPI:1063479400
Name:LAWTON, LINDA L (DPM)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:L
Last Name:LAWTON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 DEAK DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1268
Mailing Address - Country:US
Mailing Address - Phone:302-659-0500
Mailing Address - Fax:302-659-0590
Practice Address - Street 1:28 DEAK DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1268
Practice Address - Country:US
Practice Address - Phone:302-659-0500
Practice Address - Fax:302-659-0590
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE1-0000133213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000967517Medicaid
DE0000967517Medicaid
DEU75665Medicare UPIN
DE6296030001Medicare NSC