Provider Demographics
NPI:1891949632
Name:LAWHORN, CHARLTON DAVID (MD)
Entity type:Individual
Prefix:
First Name:CHARLTON
Middle Name:DAVID
Last Name:LAWHORN
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 1:534 S KANSAS AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3451
Mailing Address - Country:US
Mailing Address - Phone:785-234-5100
Mailing Address - Fax:785-233-0173
Practice Address - Street 1:534 S KANSAS AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3451
Practice Address - Country:US
Practice Address - Phone:785-234-5100
Practice Address - Fax:785-233-0173
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-21680207LP3000X
ARN-8018207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology