Provider Demographics
NPI:1629073911
Name:LAWINSKI, RICHARD MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:MICHAEL
Last Name:LAWINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BROADWAY
Mailing Address - Street 2:UNIT B
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1937
Mailing Address - Country:US
Mailing Address - Phone:609-463-1000
Mailing Address - Fax:609-463-8301
Practice Address - Street 1:9 BROADWAY
Practice Address - Street 2:UNIT B
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1937
Practice Address - Country:US
Practice Address - Phone:609-463-1000
Practice Address - Fax:609-463-8301
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03888400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery