Active NPI
Dr. Elizabeth Lawler, M.D., S.C.
- Endocrinology, Diabetes & Metabolism Physician
- Marion, IL
National Provider Identifier
1457766545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036135003
- Legal business name
- DR. ELIZABETH LAWLER, M.D., S.C.
- Practice address
- 1129 N Carbon St
Marion, IL 62959-1068 - Phone
- (618) 967-7889
- NPI assigned
- Jun 26, 2014
- Organization subpart
- No
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Marion, IL
- NPI 1053553172
Endocrinology, Diabetes & Metabolism, IL
-
- Internal Medicine Physician
- Marion, IL
- NPI 1750370243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140702000803 | IL | Part B Supplier - Clinic/Group Practice | 8628293842 |
Receives reassigned benefits from 1 practitioner Practice locations: Carbondale, IL; Marion, IL |
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth Lawler, M.D.
- Title
- President
- Phone
- (618) 967-7889
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036135003 | IL | Primary |
Addresses
Primary practice location
1129 N Carbon St
Marion, IL 62959-1068
Mailing address
1129 N Carbon St
P.O. Box 1733
Marion, IL 62959-1068
Phone (618) 967-7889
NPI Registry JSON
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403740800000",
"number": "1457766545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 N CARBON ST",
"address_2": "P.O. BOX 1733",
"city": "MARION",
"state": "IL",
"postal_code": "629591068",
"telephone_number": "618-967-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 N CARBON ST",
"city": "MARION",
"state": "IL",
"postal_code": "629591068",
"telephone_number": "618-967-7889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. ELIZABETH LAWLER, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A",
"authorized_official_last_name": "LAWLER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-967-7889",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036135003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.