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NPI Code Detail

MEDICARE: CHRISTINE B LAWLOR APN-CNP

MEDICARE: CHRISTINE B LAWLOR APN-CNP
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
1363L00000XNurse Practitioner209021520IL

General Provider Information

NPI Number : 1245839364
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE B LAWLOR APN-CNP
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number : 847-570-5315
Provider Business Practice Location Address
First Line : 2650 RIDGE AVE RM 4945
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2714
Fax Number : 847-570-1436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2020
Last Update Date : 01/27/2026

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Directions to “ CHRISTINE B LAWLOR APN-CNP” Practice Location

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