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-- CHARLES PITTMAN LAWLESS -- MD

Individual Provider (NPI-1) Active

Ophthalmology

Provider Information

NPI Number
1205895208
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1777 EAST CLARK STEET SUITE 310, POCATELLO, ID, 832013357
Phone
(208) 232-4133
Fax
(208) 232-4133

Specialties & Taxonomies

Ophthalmology Primary License: ID #M3434

All Addresses

MAILING

1777 EAST CLARK STEET SUITE 310

POCATELLO, ID, 832013357

(208) 232-4133

LOCATION

1777 EAST CLARK STEET SUITE 310

POCATELLO, ID, 832013357

(208) 232-4133