Provider Demographics
NPI:1992906358
Name:LAWLER, MICHAEL PHILIP (MA, ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PHILIP
Last Name:LAWLER
Suffix:
Gender:M
Credentials:MA, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 10TH ST
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1317
Mailing Address - Country:US
Mailing Address - Phone:319-339-8285
Mailing Address - Fax:
Practice Address - Street 1:206 FIELD HOUSE
Practice Address - Street 2:THE UNIVERSITY OF IOWA
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-335-9482
Practice Address - Fax:319-335-9480
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001922255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer