Provider Demographics
NPI:1174540793
Name:LAWLER, ERICKA ANDRUSIAK (MD)
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:ANDRUSIAK
Last Name:LAWLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERICKA
Other - Middle Name:ANN
Other - Last Name:ANDRUSIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2301 STEINDLER WAY STE B
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-7907
Mailing Address - Country:US
Mailing Address - Phone:319-338-3606
Mailing Address - Fax:319-338-0522
Practice Address - Street 1:2301 STEINDLER WAY STE B
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-7907
Practice Address - Country:US
Practice Address - Phone:319-338-3606
Practice Address - Fax:319-338-0522
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36105207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0727628Medicaid
IA22159OtherWELLMARK BCBS
IA0727628Medicaid
IAP00354214Medicare PIN
IA22159OtherWELLMARK BCBS