Provider Demographics
NPI:1023296878
Name:LINDA LAWTON, DPM
Entity type:Organization
Organization Name:LINDA LAWTON, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:302-659-0500
Mailing Address - Street 1:1000 SMYRNA CLAYTON BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-2228
Mailing Address - Country:US
Mailing Address - Phone:302-659-0500
Mailing Address - Fax:302-659-0590
Practice Address - Street 1:1000 SMYRNA CLAYTON BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-2228
Practice Address - Country:US
Practice Address - Phone:302-659-0500
Practice Address - Fax:302-659-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEE10000133213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEU75665Medicare UPIN