Provider Demographics
NPI:1598116774
Name:LAWLESS, MICHAEL HART II (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HART
Last Name:LAWLESS
Suffix:II
Gender:M
Credentials:DO
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Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-4818
Mailing Address - Country:US
Mailing Address - Phone:619-532-7250
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-4818
Practice Address - Country:US
Practice Address - Phone:619-532-7250
Practice Address - Fax:619-532-6218
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2024-03-01
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Provider Licenses
StateLicense IDTaxonomies
MI5101026919208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery