Basic Information
Provider Information
NPI: 1366486748
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAWTON
FirstName: STEVEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 580 VALENCIA ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941101115
CountryCode: US
TelephoneNumber: 4155931136
FaxNumber: 4152910489
Practice Location
Address1: 580 VALENCIA ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941101115
CountryCode: US
TelephoneNumber: 4155931136
FaxNumber: 4152910489
Other Information
ProviderEnumerationDate: 06/15/2006
LastUpdateDate: 10/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD00036910WAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X55182CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home