Provider Demographics
NPI:1114055498
Name:LAWLER, BRIAN K (MS, PT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:K
Last Name:LAWLER
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 PEACHTREE RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3395
Mailing Address - Country:US
Mailing Address - Phone:828-277-7547
Mailing Address - Fax:828-227-7750
Practice Address - Street 1:76 PEACHTREE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3395
Practice Address - Country:US
Practice Address - Phone:828-277-7547
Practice Address - Fax:828-277-7540
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26572251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC250136AOtherMEDICARE
NC068HGOtherBCBS
NC7212758Medicaid