# DR. DAVID LAWLOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295711323
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 74011 | MA | — |
| 2086S0120X | Pediatric Surgery Physician | 74011 | MA | Yes |
| 2086S0120X | Pediatric Surgery Physician | 74015 | MT | — |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 12/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0101524 | — | MA |
| 01 | — | 074011 | TUFTS HEALTH PLAN | MA |
| 01 | — | J22667 | BCBS MA | MA |