Individual provider Active NPI

James Lawlor

  • Independent Duty Corpsman
  • Groton, CT
National Provider Identifier
1194199851
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
1 Crystal Lake Rd
Naval Undersea Medical Institute BLDG 159
Groton, CT 06349-2300
Phone
(860) 694-6450
NPI assigned
Nov 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

1 Crystal Lake Rd
Naval Undersea Medical Institute BLDG 159
Groton, CT 06349-2300

Mailing address

1 Crystal Lake Rd
Naval Undersea Medical Institute BLDG 159
Groton, CT 06349-2300
Phone (860) 694-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1194199851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRYSTAL LAKE RD",
            "address_2": "NAVAL UNDERSEA MEDICAL INSTITUTE BLDG 159",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063492300",
            "telephone_number": "860-694-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRYSTAL LAKE RD",
            "address_2": "NAVAL UNDERSEA MEDICAL INSTITUTE BLDG 159",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063492300",
            "telephone_number": "860-694-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.