Provider Demographics
NPI:1669676367
Name:LAWSON MEDICAL LLC
Entity Type:Organization
Organization Name:LAWSON MEDICAL LLC
Other - Org Name:MID ATLANTIC PROSTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-621-6264
Mailing Address - Street 1:1135 FIRST COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2402
Mailing Address - Country:US
Mailing Address - Phone:757-631-6311
Mailing Address - Fax:757-631-2659
Practice Address - Street 1:200 K ST NW
Practice Address - Street 2:SUITE 6
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-5500
Practice Address - Country:US
Practice Address - Phone:202-842-8425
Practice Address - Fax:202-842-8427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier