CHARLES LUCAS LAWALL
NPI 1689462376
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Charles Lawall's NPI number?

The NPI number for Charles Lawall is 1689462376. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Q: What is Charles Lawall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Lawall was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2025PECOS Enrolled

1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107(215) 955-6864(215) 955-2878 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles Lucas Lawall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES LUCAS LAWALL (NPI 1689462376) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689462376

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHARLES LUCAS LAWALL

Location Address1015 WALNUT ST STE 620Philadelphia, PA 19107-5005

Mailing Address1001 Chestnut St Apt 502ePhiladelphia, PA 19107-4219 · (267) 454-8136

Phone(215) 955-6864

Fax(215) 955-2878

Sole ProprietorNo

Enumeration DateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1689462376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1015 WALNUT ST STE 620, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Lucas Lawall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON S DOERMANN MD

Student in an Organized Health Care Education/Training Program