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Physician Compare National (NPI:1326128547)

HEALTHCARE PROVIDER: MARK E LAWLOR MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1326128547
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2264567544
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100312000353
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LAWLOR
Individual professional last name
Provider First Name MARK
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2211 BROWN ST
Group Practice or individual's line 1 address
City ANDERSON
Group Practice or individual's city
State IN
Group Practice or individual's state
Zip Code 460164220
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 150088
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ST. VINCENT ANDERSON REGIONAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 150113
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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