Provider Demographics
NPI:1548399942
Name:LAWLER, LANIKA TAMEKA (MD)
Entity Type:Individual
Prefix:DR
First Name:LANIKA
Middle Name:TAMEKA
Last Name:LAWLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 SANTA MONICA BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4496
Mailing Address - Country:US
Mailing Address - Phone:909-962-1260
Mailing Address - Fax:
Practice Address - Street 1:8550 SANTA MONICA BLVD FL 2
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-4496
Practice Address - Country:US
Practice Address - Phone:909-962-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9557709-1205207Q00000X
OK31862207Q00000X
ALMD.34633207Q00000X
NE28960207Q00000X
LA301784207Q00000X
MO2015036499207Q00000X
SD9754207Q00000X
MN60492207Q00000X
IAMD-43150207Q00000X
KS04-38760207Q00000X
WI66113-20207Q00000X
ND14303207Q00000X
IL036139622207Q00000X
MS24604207Q00000X
TXM5809207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0802258-01Medicaid
TX00249NMedicare ID - Type Unspecified