Individual
DR. KELLY R LAWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2021 N MACARTHUR BLVD STE 300, IRVING, TX 75061-2223
(972) 817-1270
(972) 817-1275
Mailing address
9099 CHRISTOPHER ST, LANTANA, TX 76226-6492
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005246
—
IL
Enumeration date
08/31/2006
Last updated
12/04/2024
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