| Dr. James T. Lawler M.d. S.c. | |
|
1129 N Carbon St Marion IL 62959-1068 | |
| (618) 518-7700 | |
| Not Available |
| Full Name | Dr. James T. Lawler M.d. S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1129 N Carbon St, Marion, Illinois |
| Authorized Official Name and Position | James Thomas Lawler (CEO) |
| Authorized Official Contact | 6185187700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. James T. Lawler M.d. S.c. 1129 N Carbon St Po Box 1763 Marion IL 62959-1068 Ph: (618) 518-7700 | Dr. James T. Lawler M.d. S.c. 1129 N Carbon St Marion IL 62959-1068 Ph: (618) 518-7700 |
| NPI Number | 1043698426 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 07/21/2015 |
| Medicare PECOS PAC ID | 8022323500 |
|---|---|
| Medicare Enrollment ID | O20150812008087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043698426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036138280 (Illinois) | Primary |
| Provider Name | James T Lawler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821353913 PECOS PAC ID: 3072746981 Enrollment ID: I20150901002779 |
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