person
Mr. Marc Lawson, PA-C
Medical Physician Assistant in Logan, Utah
NPI 1285756825

Marc Lawson is a Medical Physician Assistant based in Providence, UT and is specialized in Medical. Marc Lawson practices in Logan, UT and has the professional credentials of PA-C. The NPI Number for Marc Lawson is 1285756825 and holds a License No. 348763-1206 (Utah).

The current practice location address for Marc Lawson is 1400 N 500 E, Logan, UT and can be reached out via phone at 435-753-1382.

Location: 1400 N 500 E, Logan, UT, 84332-9224
person
Provider Profile Details
NPI Number
1285756825
Provider Name
Marc Lawson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1400 N 500 E, Logan, UT, 84332-9224
Phone Number
435-753-1382
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005592414 01 UT MCR
1285756825 01 UT NPI
11/10/1974 01 UT DOB
53699191200001 01 UT BCBS
institution
Provider Business Practice Location Address Details
Address
1400 N 500 E
City
State
Zip
84341-2455
Phone Number
435-753-1382
Fax Number
person
Provider Business Mailing Address Details
Address
1400 N 500 E
City
State
Zip
84341-2455
Phone Number
435-753-1382
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
348763-1206 (Utah)
Definition
Definition to come...
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