Provider Demographics
NPI:1063797454
Name:LAWSON, GREGORY JOSEPH (MS)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:JOSEPH
Last Name:LAWSON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:960 N SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-7345
Mailing Address - Country:US
Mailing Address - Phone:360-929-4707
Mailing Address - Fax:
Practice Address - Street 1:960 N SUNSET DR
Practice Address - Street 2:
Practice Address - City:CAMANO ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98282-7345
Practice Address - Country:US
Practice Address - Phone:360-929-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist