Individual provider · Type 1 NPI

Charles Lucas Lawall

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1689462376 Active

Practice location

1015 Walnut St Ste 620
Philadelphia, PA 19107-5005

Call (215) 955-6864 Map

Fax (215) 955-2878

Mailing address

1001 Chestnut St Apt 502E
Philadelphia, PA 19107-4219

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689462376

Charles Lucas Lawall's National Provider Identifier is 1689462376, issued on Apr 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 30, 2025.