Individual
DR. ANDREA LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7479 WALTON ST, SUITE 4, ROCKFORD, IL 61108-4613
(815) 986-2610
(815) 986-6287
Mailing address
7431 E STATE ST, #132, ROCKFORD, IL 61108-2678
(815) 986-2610
(815) 986-6287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-064202
IL
Other
Enumeration date
11/14/2006
Last updated
12/13/2007
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