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Individual

DR. GARRETT OWEN LAWLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(617) 909-7205
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
246444
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
277967
LICENSE
NY
Enumeration date
07/17/2009
Last updated
03/25/2015
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