Active NPI
Tara H Lawlor Dermatology Inc
- Dermatology Physician
- Reading, PA
National Provider Identifier
1114302262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- TARA H LAWLOR DERMATOLOGY INC
- Practice address
- 2901 Saint Lawrence Ave
Suite 200
Reading, PA 19606-2264 - Phone
- (610) 301-0306
- Fax
- (610) 628-9011
- NPI assigned
- Jul 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara H. Lawlor, DO
- Title
- Owner
- Phone
- (610) 301-0306
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2901 Saint Lawrence Ave
Suite 200
Reading, PA 19606-2264
Mailing address
2901 Saint Lawrence Ave
Suite 200
Reading, PA 19606-2264
Phone (610) 301-0306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2901 Saint Lawrence Ave
Ste 200201
Reading, PA 19606
2901 Saint Lawrence Ave
Ste 200
Reading, PA 19606
Phone (610) 301-0306
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Reading, PA
- NPI 1326088600
-
- Family Nurse Practitioner
- Reading, PA
- NPI 1730627944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441238400000",
"number": "1114302262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 SAINT LAWRENCE AVE",
"address_2": "SUITE 200",
"city": "READING",
"state": "PA",
"postal_code": "196062264",
"telephone_number": "610-301-0306",
"fax_number": "610-628-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 SAINT LAWRENCE AVE",
"address_2": "SUITE 200",
"city": "READING",
"state": "PA",
"postal_code": "196062264",
"telephone_number": "610-301-0306",
"fax_number": "610-628-9011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA H LAWLOR DERMATOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-29",
"last_updated": "2015-09-03",
"status": "A",
"authorized_official_last_name": "LAWLOR",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-301-0306",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.