Provider Demographics
NPI:1538233879
Name:RENER, LAWSON S (DDS)
Entity type:Individual
Prefix:
First Name:LAWSON
Middle Name:S
Last Name:RENER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:LAWSON
Other - Middle Name:S
Other - Last Name:RENER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PC
Mailing Address - Street 1:4320 WORNALL RD
Mailing Address - Street 2:STE 402
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111
Mailing Address - Country:US
Mailing Address - Phone:816-561-8050
Mailing Address - Fax:913-648-6152
Practice Address - Street 1:4320 WORNALL RD
Practice Address - Street 2:STE 402
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111
Practice Address - Country:US
Practice Address - Phone:816-561-8050
Practice Address - Fax:913-648-6152
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MODE015577122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist