MEDICARE: DR. PATRICIA LOUISE LAWLER D.C.

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	111NN1001X	Nutrition Chiropractor	0014514865	MN
5	111NR0400X	Rehabilitation Chiropractor	0014514865	MN
6	111NS0005X	Sports Physician Chiropractor	0014514865	MN
7	111NX0100X	Occupational Health Chiropractor	0014514865	MN
8	111NX0800X	Orthopedic Chiropractor	0014514865	MN
9	132700000X	Dietary Manager
10	133N00000X	Nutritionist
11	133NN1002X	Nutrition Education Nutritionist
12	171100000X	Acupuncturist	0014514865	MN
13	171M00000X	Case Manager/Care Coordinator
14	175F00000X	Naturopath
15	175L00000X	Homeopath

General Provider Information

NPI Number	:	1528220183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA LOUISE LAWLER D.C.

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	:
Name	:
Credential	:
Telephone Number	:

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

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