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

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone 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.