Provider Demographics
NPI:1770746497
Name:LAWSON, LAWRENCE DANIEL (DDS)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:DANIEL
Last Name:LAWSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 UNIVERSITY DRIVE EAST
Mailing Address - Street 2:SUITE 170
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3476
Mailing Address - Country:US
Mailing Address - Phone:979-774-1255
Mailing Address - Fax:979-776-8855
Practice Address - Street 1:3201 UNIVERSITY DRIVE EAST
Practice Address - Street 2:SUITE 170
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3476
Practice Address - Country:US
Practice Address - Phone:979-774-1255
Practice Address - Fax:979-776-8855
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13644122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist