Healthcare Provider Details

I. General information

NPI: 1639575186
Provider Name (Legal Business Name): MARGARET MCKINLEY LAWLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MCKINLEY RUSSELL

II. Dates (important events)

Enumeration Date: 11/11/2014
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 E PARHAM RD
RICHMOND VA
23294-4301
US

IV. Provider business mailing address

4225 WAUMSETTA RD
RICHMOND VA
23235-1566
US

V. Phone/Fax

Practice location:
  • Phone: 804-747-5600
  • Fax:
Mailing address:
  • Phone: 804-683-5025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024171353
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: