Provider Demographics
NPI:1255515524
Name:LAWTON, DANIEL RAY
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:RAY
Last Name:LAWTON
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 1:1839 PLATEAU ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-2563
Mailing Address - Country:US
Mailing Address - Phone:503-585-4293
Mailing Address - Fax:
Practice Address - Street 1:1839 PLATEAU ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-2563
Practice Address - Country:US
Practice Address - Phone:503-585-4293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator