Provider Demographics
NPI:1912926312
Name:LAWSON, YOLANDA RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:RENEE
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 1:2509 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2039
Mailing Address - Country:US
Mailing Address - Phone:214-821-5400
Mailing Address - Fax:214-821-5415
Practice Address - Street 1:2509 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201
Practice Address - Country:US
Practice Address - Phone:214-821-5400
Practice Address - Fax:214-821-5415
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4519207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160567702Medicaid
TX8AJ278OtherBC/BS SOLO IDENTIFIER
TXH71437Medicare UPIN
TX8F4861Medicare PIN