Doctor Name: | DR. ROBERT GUSTAVE LAWSON |
NPI Number: | 1003911900 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | RHD 134777 |
Business Practice Address: | 15644 Pomerado Rd Suite 300 Poway, CA - 920642400 |
Business Phone Number: | 8584851494 |
Business Fax Number: | 8584851515 |
Mailing Address: | 243 S Escondido Blvd, Pmb #144 ESCONDIDO |
State: | CA |
Postal Code: | 920254116 |
Phone Number: | 7607153656 |
Fax Number: | 7602331265 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ER0200X |
License Number: | RHD 134777 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |