Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G55969 | CA |
NPI | 1063477743 |
---|---|
Provider Name | Dr. Christopher Mark Lawler |
First Address | Dana Point, CA 92629-1610 |
Second Address | Dana Point, CA 92629-3468 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 01/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D99464 | (02) | CA |