Lawson, Russell K

Lawson, Russell K is an individual health care provider with primary practice located at 1601 Golf Course Road , Grand Rapids MN 55744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lawson, Russell K can be contacted via phone (218) 326-5000.

Contact Information

Primary practice address
1601 Golf Course Road Grand Rapids MN 55744
Phone: (218) 326-5000
Fax: (218) 999-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20043 Wisconsin
Allopathic & Osteopathic Physicians / Urology 208800000X 49175 Minnesota

Profile Details

NPI number 1972596823
LBN Legal business name Lawson, Russell K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Aug 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972596823 NPPES
Wisconsin MEDICAID 30156600

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