Individual
DR. JOHN PATRICK LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 8TH ST, PRINCETON, IN 47670-1109
(812) 385-2990
Mailing address
PO BOX 1179, PRINCETON, IN 47670-0879
(812) 385-2990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008706
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122420 A
—
IN
Enumeration date
05/30/2005
Last updated
02/09/2015
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