Lawlor, David

Lawlor, David is an sole proprietor health care provider with primary practice located at 55 Fruit St Pediatric Surgery Wrn 11, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Lawlor, David can be contacted via phone (617) 726-8858.

Contact Information

Primary practice address
55 Fruit St Pediatric Surgery Wrn 11 Boston MA 02114-2696
Fax: (617) 726-2167
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 74011 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 74011 Massachusetts

Profile Details

NPI number 1295711323
LBN Legal business name Lawlor, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2005
Last updated Jan 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295711323 NPPES
Massachusetts Other 074011 TUFTS HEALTH PLAN
Massachusetts Other J22667 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0101524 TUFTS HEALTH PLAN

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