Provider Demographics
NPI:1639144314
Name:LAWSON, KEITH W (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:W
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 1:6900 A ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4120
Mailing Address - Country:US
Mailing Address - Phone:402-436-2000
Mailing Address - Fax:402-436-2090
Practice Address - Street 1:6900 A ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4120
Practice Address - Country:US
Practice Address - Phone:402-436-2000
Practice Address - Fax:402-436-2090
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0429456207X00000X
NE21877207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100407960AMedicaid
KS2087442203Medicaid
NE200041818OtherRAILROAD MEDICARE
NE91177983268510A005OtherTRI CARE
KS100407960BMedicaid
KS101606OtherBLUE CROSS BLUE SHIELD KS
NE35496OtherBLUE CROSS BLUE SHIELD NE
NE35947OtherMIDLANDS CHOICE
KS100407960BMedicaid
KS2087442203Medicaid
H44411Medicare UPIN