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Individual

MATTHEW LAWLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2350 MIAMI VALLEY DR, SUITE 320A, DAYTON, OH 45459-4778
(937) 312-1661
(937) 312-1701
Mailing address
2350 MIAMI VALLEY DR, SUITE 320A, DAYTON, OH 45459-4778
(937) 312-1661
(937) 312-1701

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35071585
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2230811
OH
Enumeration date
04/26/2006
Last updated
04/12/2017
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