Individual
MR. SHANE MICHAEL LAWLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
104 JUNGERMAN RD, SUITE F, ST PETERS, MO 63376
(636) 926-2641
(636) 926-3385
Mailing address
3868 MEXICO RD, ST CHARLES, MO 63303
(636) 926-0408
(636) 926-0295
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2000157231
MO
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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