Individual
DR. MARY LAWLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036064533
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036064533
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064533
—
IL
Enumeration date
06/29/2006
Last updated
05/19/2019
Update your record
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