Provider Demographics
NPI:1386749034
Name:LAWTON, CINDY M (PT)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:M
Last Name:LAWTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:M
Other - Last Name:TUMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4717 QUEMAZON
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544
Mailing Address - Country:US
Mailing Address - Phone:505-662-2225
Mailing Address - Fax:505-662-2228
Practice Address - Street 1:4717 QUEMAZON
Practice Address - Street 2:
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544
Practice Address - Country:US
Practice Address - Phone:505-662-2225
Practice Address - Fax:505-662-2228
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT233792OtherUNITED HEALTHCARE
NMNM00Q235OtherBC/BS
WI12121481OtherAMERICAN MEDICAL SECURITY