Organization · Type 2 NPI
Charles P. Lawless, M.d., P.a.
Specialist · Pocatello, ID
NPI number
1629280359
Active
Practice location
1777 E Clark St Ste 310
Pocatello, ID 83201-3357
Fax (208) 233-5736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | M-3434 (ID) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1629280359
Charles P. Lawless, M.d., P.a.'s National Provider Identifier is 1629280359, issued on May 4, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pocatello, ID. The record was last updated on Dec 3, 2007.