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NPI Code Detail

MEDICARE: DR. JEFFREY THOMAS LAWLOR D.C.

MEDICARE: DR. JEFFREY THOMAS LAWLOR D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2012024961MO

General Provider Information

NPI Number : 1013263391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY THOMAS LAWLOR D.C.
Provider Business Mailing Address
First Line : 6028 WELDON SPRING PKWY
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-9103
Country : US
Telephone Number : 636-300-8250
Fax Number :
Provider Business Practice Location Address
First Line : 6028 WELDON SPRING PKWY
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-9103
Country : US
Telephone Number : 636-300-8250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 07/24/2012

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