Individual
DR. BRETT D LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1136 JACKSON BLVD, RAPID CITY, SD 57702-4335
(605) 721-7246
(605) 341-4501
Mailing address
1136 JACKSON BLVD, RAPID CITY, SD 57702-4335
(605) 721-7246
(605) 341-4501
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4193
SD
208VP0000X
Pain Medicine Physician
4193
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006333
WELLMARK BCBS
SD
05
—
1063403848
—
SD
01
—
115322600
WYOMING MEDICAID
SD
01
—
13327600
WYOMING MEDICAID
SD
01
—
2300560
MEDICA
SD
01
—
31783
SANDFORD HEALTH PLAN
SD
01
—
41194500700
NEBRASKA MEDICAID
SD
01
—
4193
DAKOTACARE
SD
Enumeration date
11/02/2005
Last updated
01/10/2011
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