Provider Demographics
NPI:1831188002
Name:LAWSON, LARRY D (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:D
Last Name:LAWSON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 W 110TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2619
Mailing Address - Country:US
Mailing Address - Phone:913-948-3375
Mailing Address - Fax:913-663-0191
Practice Address - Street 1:8005 W 110TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2619
Practice Address - Country:US
Practice Address - Phone:913-341-6297
Practice Address - Fax:913-663-0191
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002026272207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
32437011OtherBLUE CROSS BLUE SHIELD
KS100176420BMedicaid
MO702807207Medicaid