Provider Demographics
NPI:1073796785
Name:A.LAWSONMD PA, INC
Entity Type:Organization
Organization Name:A.LAWSONMD PA, INC
Other - Org Name:DESERT WELLNESS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARINOLA
Authorized Official - Middle Name:O
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-741-1962
Mailing Address - Street 1:555 E TACHEVAH DR
Mailing Address - Street 2:STE. 2E103
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5750
Mailing Address - Country:US
Mailing Address - Phone:760-325-1114
Mailing Address - Fax:760-325-9977
Practice Address - Street 1:555 E TACHEVAH DR
Practice Address - Street 2:STE. 2E103
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5750
Practice Address - Country:US
Practice Address - Phone:760-325-1114
Practice Address - Fax:760-325-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48647174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty