Individual provider · Type 1 NPI
Autumn Marie Lawson
Surgical Physician Assistant · Elwood, IL
NPI number
1114742541
Active
Practice location
24005 S Keith Allen Dr
Elwood, IL 60421-9303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1114742541
Autumn Marie Lawson's National Provider Identifier is 1114742541, issued on Nov 20, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Elwood, IL. The record was last updated on Jun 18, 2025.