Provider Demographics
NPI:1578932752
Name:LAWLER, COURTLYNN M (PA-C)
Entity Type:Individual
Prefix:
First Name:COURTLYNN
Middle Name:M
Last Name:LAWLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:COURTLYNN
Other - Middle Name:M
Other - Last Name:PULCINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:801 OSTRUM ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:484-526-8046
Mailing Address - Fax:833-213-6428
Practice Address - Street 1:153 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:484-526-3218
Practice Address - Fax:845-263-1804
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057816363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant