Provider Demographics
NPI:1356636690
Name:LAWLER GERIATRIC CARE, PLLC
Entity Type:Organization
Organization Name:LAWLER GERIATRIC CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANIKA
Authorized Official - Middle Name:T
Authorized Official - Last Name:LAWLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-277-1943
Mailing Address - Street 1:8301 LAKEVIEW PKWY
Mailing Address - Street 2:SUITE 111-254
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9320
Mailing Address - Country:US
Mailing Address - Phone:469-277-1943
Mailing Address - Fax:972-463-1540
Practice Address - Street 1:9618 GARRETT DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-4848
Practice Address - Country:US
Practice Address - Phone:469-277-1943
Practice Address - Fax:972-463-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5809207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty