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Dr. Kenneth Wayne Lawson, OD

Optometrist in Bradenton, FL. Individual provider (NPI-1).

NPI number1619082708
StatusActive
Last updated in NPPESJan 8, 2026

Details

NPI
1619082708
Entity type
Individual (NPI-1)
Name
Dr. Kenneth Wayne Lawson
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 20, 2006
Certification date
Jan 8, 2026
Last updated
Jan 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOP2678FLYes

Practice location

5632 26th St W
Bradenton, FL 34207

Phone 941-751-4668 · Fax 941-751-4809

Mailing address

5632 26th St W
Bradenton, FL 34207-3515

Phone 941-751-4668 · Fax 941-751-4809

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