Provider Demographics
NPI:1902211048
Name:KAREN LAWSON, MD
Entity Type:Organization
Organization Name:KAREN LAWSON, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OPERATOR, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-465-1916
Mailing Address - Street 1:4001 9TH ST N
Mailing Address - Street 2:STE 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:STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044595207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCU68258Medicare UPIN