Provider Demographics
NPI:1790833937
Name:LAWSON, KAREN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 9TH ST N
Mailing Address - Street 2:SUITE 216
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1956
Mailing Address - Country:US
Mailing Address - Phone:703-465-1916
Mailing Address - Fax:703-465-9453
Practice Address - Street 1:4001 9TH ST N
Practice Address - Street 2:SUITE 216
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1956
Practice Address - Country:US
Practice Address - Phone:703-465-1916
Practice Address - Fax:703-465-9453
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044595207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4398630OtherAETNA
DCF3580001OtherBLUE CROSS
DCF3580001OtherBLUE CROSS
VA491166Medicare ID - Type UnspecifiedMEDICARE ID
VA900069137Medicare PIN