Doctor Name: | DR. TIMOTHY LAWLER |
NPI Number: | 1053552455 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A12811 |
Business Practice Address: | 3930 4th Ave Suite 200 San Diego, CA - 921033119 |
Business Phone Number: | 6192979610 |
Business Fax Number: | |
Mailing Address: | 3930 4th Ave, Suite 200 SAN DIEGO |
State: | CA |
Postal Code: | 921033119 |
Phone Number: | 6192979610 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2009 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A12811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |