MEDICARE: DR. CHRISTOPHER MARK LAWLER M.D.

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
1	208100000X	Physical Medicine & Rehabilitation Physician	G55969	CA

General Provider Information

NPI Number	:	1063477743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MARK LAWLER M.D.

Provider Business Mailing Address
First Line	:	33422 GALLEON WAY
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-1610
Country	:	US
Telephone Number	:	949-770-2794
Fax Number	:	949-305-3380

Provider Business Practice Location Address
First Line	:	32840 PACIFIC COAST HWY
Second Line	:	E
City	:	DANA POINT
State	:	CA
Zip	:	92629-3468
Country	:	US
Telephone Number	:	949-770-2794
Fax Number	:	949-305-3380

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	10/01/2015

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