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Individual

DR. STEPHEN T. LAWLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
C10003512
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1219320
PA
05
1441932
NY
05
2770717
MD
05
5032903
NJ
05
510446
IA
05
6062270
VA
05
7611192
NC
Enumeration date
09/29/2006
Last updated
09/29/2011
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