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Individual

DR. CORY JOHN LAWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 W. HIBISCUS BLVD, MLEBOURNE, FL 32901
(321) 724-8193
(321) 727-9479
Mailing address
1700 W. HIBISCUS BLVD, MLEBOURNE, FL 32901
(321) 724-8193
(321) 727-9479

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME48216
FL

Other

Enumeration date
02/21/2007
Last updated
01/20/2011
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