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Individual

MARIA C LAWLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
429 S 6TH ST, VINCENNES, IN 47591-1022
(812) 885-8497
(812) 885-8499
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
(812) 885-3737

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01045505A
IN
207R00000X
Internal Medicine Physician
Primary
35.140704
OH
208M00000X
Hospitalist Physician
01045505A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000521134
ANTHEM
IN
01
000000598605
ANTHEM
IN
05
200115360
IN
01
P00417806
RAILROAD MEDICARE
IN
01
P00670407
RAILROAD MEDICARE
IN
Enumeration date
03/09/2006
Last updated
10/24/2020
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