| Michael P Lawler Md S Corp | |
|
1129 N Carbon St Ste 3 Marion IL 62959-1068 | |
| (618) 967-7660 | |
| Not Available |
| Full Name | Michael P Lawler Md S Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1129 N Carbon St Ste 3, Marion, Illinois |
| Authorized Official Name and Position | Michael Patrick Lawler Md (PHYSICIAN) |
| Authorized Official Contact | 6189677660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Lawler Md S Corp 1129 N Carbon St Ste 3 Po Box 1763 Marion IL 62959-1068 Ph: (618) 967-7660 | Michael P Lawler Md S Corp 1129 N Carbon St Ste 3 Marion IL 62959-1068 Ph: (618) 967-7660 |
| NPI Number | 1033340179 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/11/2009 |
| Medicare PECOS PAC ID | 7618023854 |
|---|---|
| Medicare Enrollment ID | O20090914000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033340179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036123376 (Illinois) | Primary |
| Provider Name | Michael P Lawler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629203708 PECOS PAC ID: 2466508601 Enrollment ID: I20090914000288 |
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