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
Phone: (617) 726-8858
Fax: (617) 726-2167
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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