Healthcare Provider Details

I. General information

NPI: 1316204068
Provider Name (Legal Business Name): SEAMUS LAWLER CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13203 HADLEY ST STE 209
WHITTIER CA
90601-4538
US

IV. Provider business mailing address

23451 MADISON ST STE 200
TORRANCE CA
90505-4760
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-2999
  • Fax: 562-698-9578
Mailing address:
  • Phone: 310-373-7700
  • Fax: 310-373-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO03233
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO03233
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: