MEDICARE: DR. CHRISTOPHER T 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	207X00000X	Orthopaedic Surgery Physician	M-9136	ID

General Provider Information

NPI Number	:	1801801576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER T LAWLER MD

Provider Business Mailing Address
First Line	:	190 E BANNOCK ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83712-6241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	703 S AMERICANA BLVD
Second Line	:	SUITE 120
City	:	BOISE
State	:	ID
Zip	:	83702-5099
Country	:	US
Telephone Number	:	208-323-2600
Fax Number	:	208-323-9172

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

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	09/03/2013

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