Individual
HEATHER N LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA001224
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30339032
—
NH
Enumeration date
05/14/2010
Last updated
05/10/2013
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