MR. MARC LAWSON P.A.-C NPI 1285756825

NPI Information

NPI: 1285756825
Provider Name: MR. MARC LAWSON, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1400 N 500 E
LOGAN, UT
ZIP 84341
Phone: (435) 753-1382
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MR. Marc Lawson, P.A.-C is a medical physician assistant in Logan, UT. MR. Marc Lawson, P.A.-C NPI is 1285756825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 N 500 E
LOGAN, UT
ZIP 84341-455
Phone: (435) 753-1382

The NPI 1285756825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 4/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	348763-1206	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	005592414	OTHER	UTAH	MCR
2	11/10/1974	OTHER	UTAH	DOB
3	1285756825	OTHER	UTAH	NPI
4	P94015	MEDICARE UPIN	UTAH
5	53699191200001	OTHER	UTAH	BCBS
6	005592414	MEDICARE ID-TYPE UNSPECIFIED	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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