Provider Demographics
NPI:1487819025
Name:LAWLER, JUNE A (LMT)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:A
Last Name:LAWLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5875 BONNIE LYNN TER
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-5602
Mailing Address - Country:US
Mailing Address - Phone:315-252-0838
Mailing Address - Fax:
Practice Address - Street 1:5875 BONNIE LYNN TER
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-5602
Practice Address - Country:US
Practice Address - Phone:315-252-0838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01236621173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist