Individual provider · NPI-1

Dr. Lajon Damon Addison, D.O.

Emergency Medicine · Columbia, MO

NPI number1104871854
StatusActive
Last updated in NPPESJan 5, 2026

Details

NPI
1104871854
Entity type
Individual (NPI-1)
Name
Dr. Lajon Damon Addison
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2006
Certification date
Jan 5, 2026
Last updated
Jan 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine108789MOYes
207P00000X Emergency Medicine1454TN
207R00000X Internal Medicine03257KY

Practice location

1 Hospital Dr
Columbia, MO 65212-0001

Phone 573-882-8091 · Fax 573-884-1902

Mailing address

Po Box 843966
Kansas City, MO 64184-3966

Phone 573-884-3300 · Fax 573-884-0943

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