Provider Demographics
NPI:1629401682
Name:LAWLOR, CELINE
Entity Type:Individual
Prefix:MS
First Name:CELINE
Middle Name:
Last Name:LAWLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4128 SW WOODBURY CT S
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2147
Mailing Address - Country:US
Mailing Address - Phone:785-554-1271
Mailing Address - Fax:
Practice Address - Street 1:4128 SW WOODBURY CT S
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2147
Practice Address - Country:US
Practice Address - Phone:785-554-1271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1629401682225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant