Organization
JOHN P. LAWLOR, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK LAWLOR DDS (PRESIDENT)
(812) 385-2990
Entity
Organization
Contact information
Practice address
101 8TH ST, PRINCETON, IN 47670-1109
(812) 385-2990
Mailing address
PO BOX 1179, PRINCETON, IN 47670-0879
(812) 385-2990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54000883A
IN
261QD0000X
Dental Clinic/Center
54000883A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000591046
UNITED CONCORDIA INS.
—
01
—
02025
BCBS
—
05
—
200902070
—
IN
Enumeration date
05/30/2005
Last updated
02/09/2015
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