=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962287912
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ISABELLE LAWLER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2023
-----------------------------------------------------
Last Update Date | 03/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 707 HAMILTON ST
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18101-2407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-224-2449
-----------------------------------------------------
Fax | 484-664-7647
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 707 HAMILTON ST
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18101-2407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax | 484-664-7647
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RP457713
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------