Provider Demographics
NPI:1437285558
Name:LAWLOR, JESSICA CHARLOTTE (CPM)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:CHARLOTTE
Last Name:LAWLOR
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HANKINS RD
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-3214
Mailing Address - Country:US
Mailing Address - Phone:973-875-6216
Mailing Address - Fax:
Practice Address - Street 1:16 HANKINS RD
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-3214
Practice Address - Country:US
Practice Address - Phone:973-875-6216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MW00000200176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife