| Doctor Name: | MR. DONALD LAWSON |
| NPI Number: | 1003247826 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CPNP-PC |
| License Number: | 4704263271 |
| Business Practice Address: | 3901 Beaubien St Detroit, MI - 482012119 |
| Business Phone Number: | 3137452443 |
| Business Fax Number: | 3137455742 |
| Mailing Address: | 3901 Beaubien St, DETROIT |
| State: | MI |
| Postal Code: | 482012119 |
| Phone Number: | 3137452443 |
| Fax Number: | 3137455742 |
| NPI Enumeration Date: | 12/04/2013 |
| NPI Last Update Date: | 12/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 4704263271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |