Provider Demographics
NPI:1437291762
Name:LAWHON, JANET LYNNE (DO)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LYNNE
Last Name:LAWHON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11940 TAVEL CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2232
Mailing Address - Country:US
Mailing Address - Phone:972-822-7152
Mailing Address - Fax:469-533-9694
Practice Address - Street 1:10300 N CENTRAL EXPY STE 280
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8666
Practice Address - Country:US
Practice Address - Phone:972-822-7152
Practice Address - Fax:469-533-9694
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL81042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176247801Medicaid
I42961Medicare UPIN
TX176247801Medicaid