Ethan E. Lawler, D.D.S., S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ETHAN E. LAWLER, D.D.S., S.C.

Practice address

6881 South Lake Avenue
Lake Nebagamon, WI 54849-9264

Phone

(715) 374-2856

Fax

(715) 374-2299

NPI assigned

Nov 13, 2019

Organization subpart

Yes

Parent organization

ETHAN E. LAWLERAs reported in NPPES

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

Authorized official

Name

Mrs. Sueane Christine Novack

Title

Office Manager

Phone

(715) 374-2856

Specialties & licenses 1

Addresses

Other names 1

• Lawler Family Dentistry Other name

Part of

Ethan E Lawler DDS SC

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Poppe, DDS

  • General Practice Dentistry
  • Lake Nebagamon, WI
  • NPI 1083453195
  NPD
• Michael Robert Lawler, DDS

  • Dentist
  • Iron River, WI
  • NPI 1740519537
  NPD (past)

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1255976312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "LAKE NEBAGAMON",
            "state": "WI",
            "postal_code": "548490520",
            "telephone_number": "715-374-2856",
            "fax_number": "715-374-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 SOUTH LAKE AVENUE",
            "city": "LAKE NEBAGAMON",
            "state": "WI",
            "postal_code": "548499264",
            "telephone_number": "715-374-2856",
            "fax_number": "715-374-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN E. LAWLER, D.D.S., S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ETHAN E. LAWLER",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "SUEANE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-374-2856",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawler Family Dentistry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lawler Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lynne Marie Breister, PT
• Patrick Carey, RN
• Zahid Hameed, MD
• Lisa Lynn Haugrud, LPN
• Karen C Krenzke, MD
• Ethan Lawler
• Allison Renee May

• General Practice Dentistry in Lake Nebagamon, WI
• Providers in Lake Nebagamon, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.