Individual
COLLEEN M LAWLER-BJORNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1129 N CARBON ST, MARION, IL 62959-1068
(618) 993-0002
(618) 997-5499
Mailing address
PO BOX 1431, CARBONDALE, IL 62903-1431
(618) 457-8275
(618) 997-5499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-103133
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103133
—
IL
Enumeration date
10/17/2005
Last updated
12/03/2009
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