Provider Demographics
NPI:1659392579
Name:LAWSON, VICTOR GEORGE (MD FRCSC FACS)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:GEORGE
Last Name:LAWSON
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Gender:M
Credentials:MD FRCSC FACS
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Mailing Address - Street 1:24 CLINIC DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-2161
Mailing Address - Country:US
Mailing Address - Phone:859-987-0400
Mailing Address - Fax:859-987-0409
Practice Address - Street 1:24 CLINIC DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361
Practice Address - Country:US
Practice Address - Phone:859-987-0400
Practice Address - Fax:859-987-0409
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2008-02-19
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Provider Licenses
StateLicense IDTaxonomies
KY29133207Y00000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64291339Medicaid
KY1645002Medicare PIN
G52113Medicare UPIN