Provider Demographics
NPI:1255892766
Name:LAWSON, SEAN M (MD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:M
Last Name:LAWSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3570 HENRY ST STE 220
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4576
Mailing Address - Country:US
Mailing Address - Phone:231-672-3155
Mailing Address - Fax:231-672-3157
Practice Address - Street 1:3570 HENRY ST STE 220
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-4576
Practice Address - Country:US
Practice Address - Phone:231-672-3155
Practice Address - Fax:231-672-3157
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH57.247314207Q00000X
MI4301507391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine