Provider Demographics
NPI:1508873431
Name:LAWSON, MARGIE J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGIE
Middle Name:J
Last Name:LAWSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:MARGIE
Other - Middle Name:S
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0188
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-773-4750
Practice Address - Street 1:106 TYREE BLVD
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:OH
Practice Address - Zip Code:45771-5008
Practice Address - Country:US
Practice Address - Phone:740-444-5247
Practice Address - Fax:740-444-5249
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30015774122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist