Provider Demographics
NPI:1871748442
Name:LAWSON, JOHN S (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:S
Last Name:LAWSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9325 DORCHESTER ST
Mailing Address - Street 2:#124
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2520
Mailing Address - Country:US
Mailing Address - Phone:303-471-5263
Mailing Address - Fax:303-471-5724
Practice Address - Street 1:9325 DORCHESTER ST
Practice Address - Street 2:#124
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2520
Practice Address - Country:US
Practice Address - Phone:303-471-5263
Practice Address - Fax:303-471-5724
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1361152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist