Organization Name: | JOHN C LAWLOR DPM PA |
NPI Number: | 1043409501 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN C LAWLOR (OWNER) |
Mailing Address: | 1435 Se 8th Ter Suite E Cape Coral |
State: | FL US |
Postal Code: | 339903289 |
Phone Number: | 2394817000 |
Fax Number: | 2394818150 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 02/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO3145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |