| NPI | 1902437874 |
|---|---|
| Former Legal Business Name | OPTUMCARE COLORADO SPRINGS LLC |
| Doing Business As | MDVIP DR THEODORE LAWSON |
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Associate Director Credentialing 702-579-3253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2024-08-20 |