1376587386 NPI number — MR. STEVEN JAMES LAWSON P.A.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376587386 NPI number — MR. STEVEN JAMES LAWSON P.A.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

LAWSON

Provider First Name:

STEVEN

Provider Middle Name:

JAMES

Provider Name Prefix Text:

MR.

Provider Name Suffix Text:

Provider Credential Text:

P.A.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1376587386

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/21/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

4601 PARK RD

Provider Second Line Business Mailing Address:

SUITE 300

Provider Business Mailing Address City Name:

CHARLOTTE

Provider Business Mailing Address State Name:

NC

Provider Business Mailing Address Postal Code:

28209-3239

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

704-323-2000

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

9848 N TRYON ST

Provider Second Line Business Practice Location Address:

SUITE 200

Provider Business Practice Location Address City Name:

CHARLOTTE

Provider Business Practice Location Address State Name:

NC

Provider Business Practice Location Address Postal Code:

28262-5512

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

704-323-2000

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

06/16/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 363A00000X , with the licence number:  9659 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363A00000X , with the licence number: 1443 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 363A00000X , with the licence number: 0010-02522 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 170734 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 0119879 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 1030268 . This is a "PREFERRED ONE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 209590400 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
• Identifier: 293S3LA . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 419741000 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
• Identifier: 491750009 . This is a "MEDICARE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".
• Identifier: HP34529 . This is a "HEALTHPARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 203050009 . This is a "MEDICARE" identifier , issued by the state of ( WI ) . This identifiers is of the category "OTHER".