Lawson, Mark Allan

Lawson, Mark Allan is an sole proprietor health care provider with primary practice located at 550 Pope Ave , Fort Leavenworth KS 66027-2332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lawson, Mark Allan can be contacted via phone (913) 758-3793.

Contact Information

Primary practice address
550 Pope Ave Fort Leavenworth KS 66027-2332
Phone: (913) 758-3793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01189 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1053751

Profile Details

NPI number 1972589695
LBN Legal business name Lawson, Mark Allan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Jan 11th, 2024 - about 11 months 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 1972589695 NPPES
Other 1053751 NCCPA
Other 15-01189 NCCPA

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