Provider Demographics
NPI:1902078231
Name:ROBERT L. LAWTON, MD, PC
Entity Type:Organization
Organization Name:ROBERT L. LAWTON, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:309-762-2217
Mailing Address - Street 1:2331 29TH AVENUE COURT DR
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-6929
Mailing Address - Country:US
Mailing Address - Phone:309-762-2217
Mailing Address - Fax:
Practice Address - Street 1:2331 29TH AVENUE COURT DR
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-6929
Practice Address - Country:US
Practice Address - Phone:309-762-2217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty