Basic Information
| Provider Information | |||||||||
| NPI: | 1215983309 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAWLOR | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | MS, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4700 HALE PKWY STE 550 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802204053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033216600 | ||||||||
| FaxNumber: | 3033218814 | ||||||||
| Practice Location | |||||||||
| Address1: | 4700 HALE PKWY STE 550 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802204053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033216600 | ||||||||
| FaxNumber: | 3033218814 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 11/06/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 009937 | CT | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251X0800X | 026539 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | 225100000X | PTL.0014540 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.