| Gary John Lawson Md A Medical Corporation | |
|
17447 Chatsworth St Granada Hills CA 91344-5718 | |
| (818) 360-1858 | |
| (818) 360-4979 |
| Full Name | Gary John Lawson Md A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 17447 Chatsworth St, Granada Hills, California |
| Authorized Official Name and Position | Gary John Lawson (SELF) |
| Authorized Official Contact | 8183601858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary John Lawson Md A Medical Corporation 17447 Chatsworth St Granada Hills CA 91344-5718 Ph: (818) 360-1858 | Gary John Lawson Md A Medical Corporation 17447 Chatsworth St Granada Hills CA 91344-5718 Ph: (818) 360-1858 |
| NPI Number | 1447305099 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447305099 | NPI | - | NPPES |
| 00C27864 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C27864 (California) | Primary |
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