Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tristan Richard Lawson, MD

Individual provider Diagnostic Radiology Physician · NPI 1295260552

Tristan Richard Lawson, MD is a Diagnostic Radiology in Roseville, Minnesota. Graduated from University of South Carolina School of Medicine, Greenville in 2017, 9 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Pennsylvania.

Years since qualifying
9
Trained at
University of South Carolina School of Medicine, Greenville
Licensed in
MN, PA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2355 Hwy 36 W Ste 100
Roseville, MN 55113
Phone: (651) 292-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Spruce St, Philadelphia, PA 19104-4238 — (251) 316-5151

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 72699 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MT224870 (PA)

Record details

NPI number1295260552
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2017
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE, GREENVILLE
Graduated 2017 (9 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Roseville