Doctor Name: | MICHAEL J LAWLER |
NPI Number: | 1023083508 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | SP007625 |
Business Practice Address: | 4813 Jonestown Rd Suite 201 Harrisburg, PA - 171091748 |
Business Phone Number: | 7177158705 |
Business Fax Number: | 7177158707 |
Mailing Address: | 4813 Jonestown Rd, Suite 201 HARRISBURG |
State: | PA |
Postal Code: | 171091748 |
Phone Number: | 7177158705 |
Fax Number: | 7177158707 |
NPI Enumeration Date: | 02/20/2006 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP007625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |