Provider Demographics
NPI:1497945786
Name:LAWSON, JAMES LARRY (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LARRY
Last Name:LAWSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SUNSET DRIVE
Mailing Address - Street 2:
Mailing Address - City:CAMMACK VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:72207-2731
Mailing Address - Country:US
Mailing Address - Phone:501-663-0032
Mailing Address - Fax:501-663-1920
Practice Address - Street 1:8 SUNSET DRIVE
Practice Address - Street 2:
Practice Address - City:CAMMACK VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:72207-2731
Practice Address - Country:US
Practice Address - Phone:501-663-0032
Practice Address - Fax:501-663-1920
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC3109208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery