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CARL H LAWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 W 800 N, SUITE 220, OREM, UT 84057-6301
(801) 354-8205
(801) 354-8206
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 429-8150

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036087801
IL
207RP1001X
Pulmonary Disease Physician
036087801
IL
207RP1001X
Pulmonary Disease Physician
2004030793
MO
207RP1001X
Pulmonary Disease Physician
Primary
7484405-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020057300
BLACK LUNG
IL
01
036087801
IL STATE LICENSE
IL
05
036087801
IL
01
077831
HEALTH ALLIANCE
IL
01
08421024
BC/BS
IL
01
133586700
ACS-OWCP
IL
01
14D0949277
CLIA
IL
01
170770
PERSONAL CARE
IL
01
290014322
RR MEDICARE PIN
IL
01
371363944
IRS TAX ID
IL
01
468846
HEALTHLINK
IL
01
6394P
CATERPILLAR
IL
01
CD7143
RR MEDICARE GROUP#
IL
Enumeration date
08/08/2006
Last updated
01/31/2011
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