Provider Demographics
NPI:1548235401
Name:LAWSON, PHILIP HUGH IRVING (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:HUGH IRVING
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 1:580 ST. JOHNSBURY ROAD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561
Mailing Address - Country:US
Mailing Address - Phone:603-444-9055
Mailing Address - Fax:603-575-6288
Practice Address - Street 1:580 ST. JOHNSBURY ROAD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561
Practice Address - Country:US
Practice Address - Phone:603-444-9055
Practice Address - Fax:603-575-6288
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9996207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010414Medicaid
RE4532Medicare ID - Type Unspecified
NH30010414Medicaid