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General NPI Number Information
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NPI Number | 1356636690
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Entity Type | Organization
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Legal Business Name | LAWLER GERIATRIC CARE, PLLC
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 9618 GARRETT DR
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City | ROWLETT
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State | TX
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Zip | 75089-4848
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Country | US
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Telephone | 469-277-1943
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Fax | 972-463-1540
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Provider Business Mailing Address
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Address Line | 8301 LAKEVIEW PKWY SUITE 111-254
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City | ROWLETT
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State | TX
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Zip | 75088-9320
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Country | US
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Telephone | 469-277-1943
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Fax | 972-463-1540
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Authorized Official
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Title or Position | OWNER
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Name | LANIKA T LAWLER
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Credential | M.D.
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Telephone | 469-277-1943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M5809
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License Number State | TX
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