Provider Demographics
NPI:1497929020
Name:LAWLER, EDWARD ROBERT (RN)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:ROBERT
Last Name:LAWLER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 NW 113TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-0401
Mailing Address - Country:US
Mailing Address - Phone:352-333-0915
Mailing Address - Fax:
Practice Address - Street 1:803 NW 113TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-0401
Practice Address - Country:US
Practice Address - Phone:352-333-0915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2780982163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse