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NPI Code Detail

MEDICARE: MARIA LAWLER

MEDICARE: MARIA LAWLER
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
1106H00000XMarriage & Family Therapist70854CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12991OTHERCAMEDICAL BILLING NUMBER

General Provider Information

NPI Number : 1912047291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LAWLER
Provider Business Mailing Address
First Line : 3626 HARBOR VIEW AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94619-1500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1266 14TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2247
Country : US
Telephone Number : 510-273-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 11/21/2022

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Directions to “ MARIA LAWLER ” Practice Location

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