Charles P Lawless


Address: 1777 E Clark St, Suite 310, Pocatello, ID 83201-3357

Charles P Lawless (NPI# 1205895208, PAC ID# 0446395693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1205895208
PAC ID by PECOS 0446395693
Professional Enrollment ID I20100226000780
Full Name Charles P Lawless
Address 1777 E Clark St
Suite 310
Pocatello
ID 83201-3357
Gender M
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 1967
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130028 PORTNEUF MEDICAL CENTER

Other Locations

Address Phone Organization
1777 E Clark St, Suite 310, Pocatello, ID 83201-3357

Organization Information

Office Location

Street Address 1777 E CLARK ST
SUITE 310
City POCATELLO
State ID
Zip 83201-3357

Physicians in the same location

Name Specialty Organization Address
Brent Christensen Podiatry 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357
Dwight Gale Romriell Oral Surgery 1777 E Clark St, Suite 240, Pocatello, ID 83201-3357
Jerilyn Pence Clinical Social Worker Life Change Associates PC 1777 E Clark St, Pocatello, ID 83201-3357

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Name Specialty Organization Address
Timothy A Flicker Physical Therapy 2839 Margo Ln, Pocatello, ID 83201-1961
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Kenneth A Cogen Nephrology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Randall J Skeem Internal Medicine St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Martha Elizabeth Franz Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
John L Shuss General Surgery St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Ciara C Christensen Clinical Psychologist St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Robin L Hall Nurse Practitioner St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Laurence L Martens Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Terry J Buccambuso Diagnostic Radiology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Find all physicians in zip 83201

Competitor

Search similar physicians

City POCATELLO
Zip Code 83201
Specialty OPHTHALMOLOGY
City + Specialty POCATELLO + OPHTHALMOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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