Provider Demographics
NPI:1346385648
Name:J J LAWLOR, LLC
Entity Type:Organization
Organization Name:J J LAWLOR, LLC
Other - Org Name:LAWLOR FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAWLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-285-8230
Mailing Address - Street 1:616 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ELDRIDGE
Mailing Address - State:IA
Mailing Address - Zip Code:52748-9694
Mailing Address - Country:US
Mailing Address - Phone:563-285-8230
Mailing Address - Fax:563-285-5122
Practice Address - Street 1:616 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:ELDRIDGE
Practice Address - State:IA
Practice Address - Zip Code:52748-9694
Practice Address - Country:US
Practice Address - Phone:563-285-8230
Practice Address - Fax:563-285-5122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty