Doctor Name: | DEBBIE LEE LAWLOR |
NPI Number: | 1114020799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN MSN ANPC |
License Number: | 26NJ00105900 |
Business Practice Address: | 6410 New Jersey Avenue Crest Medical Associates Wildwood, NJ - 08260 |
Business Phone Number: | 6095231331 |
Business Fax Number: | |
Mailing Address: | 153 W Taylor Ave, Unit 6f WILDWOOD |
State: | NJ |
Postal Code: | 08260 |
Phone Number: | 6094582144 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00105900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |