Dr. Mallorie Nicole Lawson, D.D.S.
Dentist, General Practice in Indianapolis, IN. Individual provider (NPI-1).
NPI number1154778298
StatusActive
Last updated in NPPESMay 18, 2016
Details
- NPI
- 1154778298
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mallorie Nicole Lawson
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2016
- Last updated
- May 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12012482A | IN | Yes |
Other names
- Mallorie Nicole Newman (Former Name)
Practice location
3711 W 86th StIndianapolis, IN 46268-1904
Phone 317-941-7300
Mailing address
3711 W 86th StIndianapolis, IN 46268-1904
Phone 317-941-7300
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