Provider Demographics
NPI:1245973791
Name:LAWSON, SCOTT ARTHUR
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:ARTHUR
Last Name:LAWSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24101 LAKE SHORE BLVD APT 1805
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1201
Mailing Address - Country:US
Mailing Address - Phone:216-212-0428
Mailing Address - Fax:
Practice Address - Street 1:24101 LAKE SHORE BLVD APT 1805
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1201
Practice Address - Country:US
Practice Address - Phone:216-212-0428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)