Individual provider · Type 1 NPI

Cody Wayne Lawson, ATC

Physician Assistant · Minneapolis, MN

NPI number 1477168565 Active

Practice location

2211 Riverside Ave
Minneapolis, MN 55454-1350

Call (612) 330-1000 Map

Mailing address

115 2nd Ave S Apt 701
Minneapolis, MN 55401-2014

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477168565

Cody Wayne Lawson, ATC's National Provider Identifier is 1477168565, issued on Sep 15, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 15, 2025.