Provider Demographics
NPI:1609876895
Name:LAWSON, DONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:
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 1:4300 ALTON RD, ASCHER BUILDING 2ND FLOOR
Mailing Address - Street 2:ATTEN: PHYSICIAN SERVICES
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2800
Mailing Address - Country:US
Mailing Address - Phone:305-674-2121
Mailing Address - Fax:305-535-7919
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-674-2684
Practice Address - Fax:305-674-2995
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0080887174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE4593BMedicare ID - Type Unspecified