Provider Demographics
NPI:1225057821
Name:LAWSON, MARGARET BUCKNER (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:BUCKNER
Last Name:LAWSON
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 1:558 GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2221
Mailing Address - Country:US
Mailing Address - Phone:847-501-3655
Mailing Address - Fax:
Practice Address - Street 1:558 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-2221
Practice Address - Country:US
Practice Address - Phone:847-501-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL60001215OtherBLUE SHIELD PROVIDER NUMB