Provider Demographics
NPI:1336281427
Name:LAWSON, REGINALD (MD)
Entity Type:Individual
Prefix:
First Name:REGINALD
Middle Name:
Last Name:LAWSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2710 RIFE MEDICAL LN
Mailing Address - Street 2:HOSPITALIST OFFICE
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1452
Mailing Address - Country:US
Mailing Address - Phone:479-338-0200
Mailing Address - Fax:479-338-2906
Practice Address - Street 1:17273 ST RT 104
Practice Address - Street 2:HOSPITALIST OFFICE
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9318
Practice Address - Country:US
Practice Address - Phone:740-773-1141
Practice Address - Fax:740-772-7133
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-6200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine