MEDICARE: DR. PATRICIA L. LAWLER D.C. CHARTERED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0014514865	MN
2	111NI0900X	Internist Chiropractor	0014514865	MN
3	111NN0400X	Neurology Chiropractor	0014514865	MN
4	111NR0400X	Rehabilitation Chiropractor	0014514865	MN
5	111NS0005X	Sports Physician Chiropractor	0014514865	MN
6	111NX0100X	Occupational Health Chiropractor	0014514865	MN
7	111NX0800X	Orthopedic Chiropractor	0014514865	MN
8	132700000X	Dietary Manager
9	133N00000X	Nutritionist
10	133NN1002X	Nutrition Education Nutritionist
11	171100000X	Acupuncturist	0014514865	MN
12	175F00000X	Naturopath
13	175L00000X	Homeopath
14	171M00000X	Case Manager/Care Coordinator
15	111NN1001X	Nutrition Chiropractor	0014514865	MN

General Provider Information

NPI Number	:	1023164035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. PATRICIA L. LAWLER D.C. CHARTERED

Provider Business Mailing Address
First Line	:	2324 UNIVERSITY AVE W
Second Line	:	SUITE NO. 102
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1843
Country	:	US
Telephone Number	:	651-645-6951
Fax Number	:	651-645-6961

Provider Business Practice Location Address
First Line	:	2324 UNIVERSITY AVE W
Second Line	:	SUITE NO. 102
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1843
Country	:	US
Telephone Number	:	651-645-6951
Fax Number	:	651-645-6961

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PATRICIA LAWLER
Credential	:	DC, CCN, DACBN
Telephone Number	:	651-645-6951

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	06/25/2008

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