IndividualActive
Autumn Lawson
NPI 1114742541 · Surgical Physician Assistant · Elwood, IL
Provider details
- NPI number
- 1114742541
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
24005 S Keith Allen Dr
Elwood, IL 60421-9303
Phone: (815) 716-1822
Approximate (ZIP-level) locationGet directions
Mailing address
24005 S Keith Allen Dr
Elwood, IL 60421-9303
Registry dates
- Enumerated
- 2024-11-20
- Last updated
- 2025-06-18
- Certified
- 2025-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.