Basic Information
| Provider Information | |||||||||
| NPI: | 1639575186 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAWLER | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | MCKINLEY | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | FNP | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | LAWLER | ||||||||
| OtherFirstName: | MARGARET | ||||||||
| OtherMiddleName: | MCKINLEY | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4225 WAUMSETTA RD | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232351566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8046835025 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7700 E PARHAM RD | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232944301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047475600 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2014 | ||||||||
| LastUpdateDate: | 07/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| IsSoleProprietor: | Y | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 07/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024171353 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 0001186685 | 01 | VA | LICENSE TO PRACTICE AS A REGISTERED NURSE | OTHER | 0024171353 | 01 | VA | LICENSE TO PRACTICE AS A LICENSED NURSE PRACTITIONER - FAMILY | OTHER |