Individual
JACK R LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1000
Mailing address
908 NIAGARA FALLS BLVD STE 208, N TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 213-0105
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
175865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01295032
—
NY
01
—
0707749
IHA
—
Enumeration date
07/21/2006
Last updated
03/04/2011
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