Individual
DR. RYAN ANTHONY LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 SLIGH BLVD, STE 200, ORLANDO, FL 32806-1110
(407) 649-6884
(407) 245-7059
Mailing address
1335 SLIGH BLVD, STE 200, ORLANDO, FL 32806-1110
(407) 649-6884
(407) 245-7059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME130001
FL
2086S0102X
Surgical Critical Care Physician
19189
CO
2086S0102X
Surgical Critical Care Physician
Primary
ME130001
FL
2086S0102X
Surgical Critical Care Physician
P6991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118949200
—
FL
05
—
327051403 (MDACC)
—
TX
01
—
8EC499
BCBS (MDACC)
TX
Enumeration date
05/21/2008
Last updated
08/16/2023
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