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MR. DOUGLAS LAWSON

Other Service Providers Driver

Provider NPI: 1174920466

Provider Information:
MR. DOUGLAS  LAWSON 
Gender: M
Not Sole Proprietor

Practice Location:
1044 MADRID RD  GREENWOOD, IN 46143-2654 US
Tel: 317-414-1889  Fax: --

Business Mailing Address:
1044 MADRID RD  GREENWOOD, IN 46143-2654 US
Tel: 317-414-1889  Fax: --

NPI Information:
NPI: 1174920466
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172A00000XOther Service Providers
Driver

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 172A00000X

Type:

Classification:



Definition:



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