Provider Demographics
NPI:1669508420
Name:LAWLOR, MICHAEL WILLIAM (MD, PHD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:WILLIAM
Last Name:LAWLOR
Suffix:
Gender:M
Credentials:MD, PHD
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Other - Credentials:
Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:CHILDRENS HOSPITAL OF WI
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-2526
Mailing Address - Fax:414-266-2779
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:CHILDRENS HOSPITAL OF WI
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-2526
Practice Address - Fax:414-266-2779
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAL-221200207ZP0102X
WI56216207ZP0102X, 207ZP0213X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology