Provider Demographics
NPI:1881795847
Name:LAWSON, LAURA L (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 HAYES ST STE 310
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2653
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2004 HAYES ST STE 310
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2653
Practice Address - Country:US
Practice Address - Phone:615-620-5535
Practice Address - Fax:615-320-4303
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN37567208600000X
TNMD00000375672086X0206X
TN49629208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1507972Medicaid
4511376OtherCIGNA
7817453OtherAETNA
TN4189818OtherBLUE CROSS BLUE SHIELD
TNH87187OtherHEALTHSPRING
TN4189818OtherBLUE CROSS BLUE SHIELD
TNH87187Medicare UPIN