Provider Demographics
NPI:1366589517
Name:LAWSON, HERMAN CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:HERMAN
Middle Name:CHRISTOPHER
Last Name:LAWSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1443
Mailing Address - Country:US
Mailing Address - Phone:610-375-4567
Mailing Address - Fax:610-375-1203
Practice Address - Street 1:601 SPRUCE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1443
Practice Address - Country:US
Practice Address - Phone:610-375-4567
Practice Address - Fax:610-375-1203
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD66073207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD413215700Medicaid
MD186198ZC7RMedicare PIN