Provider Demographics
NPI:1659115434
Name:LAWLER, SHEILA (DMD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:LAWLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 EQUESTRIAN WAY
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-9786
Mailing Address - Country:US
Mailing Address - Phone:630-777-1779
Mailing Address - Fax:
Practice Address - Street 1:301 N WHITE ST STE BB
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-0020
Practice Address - Country:US
Practice Address - Phone:815-464-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.035224122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist