Provider Demographics
NPI:1194111849
Name:LAWTON, ELIZABETH JOY (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOY
Last Name:LAWTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25055 RIDING PLZ STE 150
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-5919
Mailing Address - Country:US
Mailing Address - Phone:703-327-0075
Mailing Address - Fax:
Practice Address - Street 1:25055 RIDING PLZ STE 150
Practice Address - Street 2:
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-5919
Practice Address - Country:US
Practice Address - Phone:703-327-0075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101273409208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics