Provider Demographics
NPI:1043025653
Name:LAWLER, CANDICE (IHP, MBCE)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:LAWLER
Suffix:
Gender:F
Credentials:IHP, MBCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 OLD AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-9618
Mailing Address - Country:US
Mailing Address - Phone:817-703-3597
Mailing Address - Fax:
Practice Address - Street 1:1125 OLD AIRPORT RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76087-9618
Practice Address - Country:US
Practice Address - Phone:817-703-3597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach