Individual
DR. MATTHEW LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3100 WASHINGTON RD, KENOSHA, WI 53144-1604
(262) 658-4622
Mailing address
2809 25TH AVE, KENOSHA, WI 53140-2054
(262) 496-3790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1443424
WI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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