MEDICARE: FREDERICK W. LAWLER JR. MD

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	207P00000X	Emergency Medicine Physician	32610	NC

General Provider Information

NPI Number	:	1861430662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDERICK W. LAWLER JR. MD

Provider Business Mailing Address
First Line	:	420 WESTWOOD DR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-2803
Country	:	US
Telephone Number	:	919-942-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 S MCCASKEY RD
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-2150
Country	:	US
Telephone Number	:	800-291-4020
Fax Number	:	919-419-7247

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	07/08/2007

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