Organization
MARK S LAWLER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SHANNON LAWLER M.D. (PHYSICIAN)
(415) 492-1600
Entity
Organization
Contact information
Practice address
7100 REDWOOD BLVD, SUITE 200, NOVATO, CA 94945-4110
(415) 492-1600
(415) 492-1688
Mailing address
7100 REDWOOD BLVD, SUITE 200, NOVATO, CA 94945-4110
(415) 492-1600
(415) 492-1688
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A69218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A692180
—
CA
Enumeration date
07/16/2009
Last updated
06/01/2011
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