Glen Lawlor Jr Medical Corp

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

GLEN LAWLOR JR MEDICAL CORP

Practice address

4835 Van Nuys Blvd Ste 111
Sherman Oaks, CA 91403-2136

Phone

(818) 789-8151

Fax

(818) 789-3201

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Glen Lawlor Jr., M.D.

Title

President

Phone

(818) 789-8151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1477899797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD STE 111",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032136",
            "telephone_number": "818-789-8151",
            "fax_number": "818-789-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD STE 111",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032136",
            "telephone_number": "818-789-8151",
            "fax_number": "818-789-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN LAWLOR JR MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giryoung Kwon DPM PC
• Keren-Or Givol, LMFT
• Sylvia Glad
• Catherine Ann Gladki
• Thomas A Glassman, M.D.
• Glendale Diagnostic Imaging Network Medical Office, Inc.
• Myri H Glentzer
• Evelyn Chaya Gleyzer, LCSW
• Global Med Management LLC
• Kate Deegan Glodney, SUD COUNSELOR

• Allergy & Immunology Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.