Cory John Lawler, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME48216 Issued in FL

Practice address

1700 W. Hibiscus Blvd
Mlebourne, FL 32901

Phone

(321) 724-8193

Fax

(321) 727-9479

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abilene Advanced Eyecare Inc.

  • Optometrist
  • Abilene, TX
  • NPI 1104001643
  NPD (past)
• Aeve, PA

  • Optometrist
  • Abilene, TX
  • NPI 1083159800
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1154466571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W. HIBISCUS BLVD",
            "city": "MLEBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-724-8193",
            "fax_number": "321-727-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W. HIBISCUS BLVD",
            "city": "MLEBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-724-8193",
            "fax_number": "321-727-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "CORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME48216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Motion Physical Therapy and Wellness

• All providers in Mlebourne, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.