MEDICARE: DR. PATRICK J LAWLER MD

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	207L00000X	Anesthesiology Physician	3571	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0002152	OTHER	SD	BLUE CROSS SD
3	2F818LO	OTHER	MN	BLUE CROSS MN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407896699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK J LAWLER MD

Provider Business Mailing Address
First Line	:	1301 W RALPH ROGERS RD
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2702
Country	:	US
Telephone Number	:	605-331-0178
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 W RALPH ROGERS RD
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-2702
Country	:	US
Telephone Number	:	605-331-0178
Fax Number	:

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	04/04/2008

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