MEDICARE: ANDREA LAWLER

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1417526823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA LAWLER

Provider Business Mailing Address
First Line	:	PO BOX 313
Second Line	:
City	:	MILLINGTON
State	:	NJ
Zip	:	07946-0313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 OLCOTT SQ FL 2
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2326
Country	:	US
Telephone Number	:	908-809-9463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	06/21/2021

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Directions to “ ANDREA LAWLER ” Practice Location

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