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1225100548
ANDREA LAWLESS
ROCKFORD, IL
NPI
1225100548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-064202)
Enumeration Date
2006-11-14
Last Update Date
2007-12-13
Business Address
Dr. ANDREA LAWLESS M.D.
7479 WALTON ST SUITE 4
ROCKFORD, IL 61108-4613
Phone number: 815-986-2610
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Mailing Address
Dr. ANDREA LAWLESS M.D.
7431 E STATE ST #132
ROCKFORD, IL 61108-2678
Phone number: 815-986-2610
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