Provider Demographics
NPI:1497472831
Name:LAWLER, MEGAN ELYSE (FNP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELYSE
Last Name:LAWLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 CRESTVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-3578
Mailing Address - Country:US
Mailing Address - Phone:307-399-2703
Mailing Address - Fax:
Practice Address - Street 1:274 CRESTVIEW AVE
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3578
Practice Address - Country:US
Practice Address - Phone:307-399-2703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0997738-NP363LF0000X
CA95025646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily