Derby, S Lawson

Derby, S Lawson is an individual health care provider with primary practice located at 77 Herrick St Ste 101 Medical Group Inc, Beverly MA 01915-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Derby, S Lawson can be contacted via phone (978) 927-4110.

Contact Information

Primary practice address
77 Herrick St Ste 101 Medical Group Inc Beverly MA 01915-3012
Phone: (978) 927-4110
Fax: (978) 232-7057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 216949 Massachusetts

Profile Details

NPI number 1841215522
LBN Legal business name Derby, S Lawson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841215522 NPPES
Massachusetts MEDICAID 2031400

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