Individual
DR. PETER J. LAWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
780 CHESTNUT HILL RD, GLASTONBURY, CT 06033-4114
(860) 633-1928
(860) 633-9054
Mailing address
780 CHESTNUT HILL RD, GLASTONBURY, CT 06033-4114
(860) 633-1928
(860) 633-9054
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
194
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0000194CT03
ANTHEM
CT
01
—
060398
CONNECTICARE
CT
Enumeration date
02/25/2007
Last updated
07/08/2007
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