Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 036-135003 | IL |
NPI | 1053553172 |
---|---|
Provider Name | Dr. Elizabeth Ellen Lawler |
First Address | Marion, IL 62959-1068 |
Second Address | Marion, IL 62959-1068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2009 |
Last Update Date | 05/12/2015 |