Provider Demographics
NPI:1356470074
Name:LAWLER, OPAL YVONNE
Entity Type:Individual
Prefix:MS
First Name:OPAL
Middle Name:YVONNE
Last Name:LAWLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E PALMDALE BLVD
Mailing Address - Street 2:CHILD AND FAMILY GUIDANCE CENTER
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-7145
Mailing Address - Country:US
Mailing Address - Phone:661-265-8627
Mailing Address - Fax:
Practice Address - Street 1:310 E PALMDALE BLVD
Practice Address - Street 2:CHILD AND FAMILY GUIDANCE CENTER
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-7145
Practice Address - Country:US
Practice Address - Phone:661-265-8627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner