James Larry Lawson, MD
Individual provider Active NPI Surgery Physician · Cammack Village, AR
NPI 1497945786 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1497945786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- C3109 (AR)
- Practice address
- 8 Sunset Drive
Cammack Village, AR 72207-2731 - Phone
- (501) 663-0032
- Fax
- (501) 663-1920
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3109 | AR | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C3109 | AR | Yes |
Addresses
Primary practice location
8 Sunset Drive
Cammack Village, AR 72207-2731
Mailing address
8 Sunset Drive
Cammack Village, AR 72207-2731
Phone (501) 663-0032
Other providers in Cammack Village, AR
All providers in Cammack Village, AR · Surgery Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.