P Praxis·MD
● Active Type 2 · Organization

Charles P. Lawless, M.d., P.A.

Specialist·Pocatello, ID· NPI 1629280359 · Enumerated 2007 · 19 years on NPI
Charles P. Lawless, M.d., P.A. is 1 of 305 specialist organizations in Idaho.
NPI age
19 years
Enumerated 2007-05-04
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lawless
President
Last NPPES update
2007-12-03
Source: monthly bulk 2026-05

How this organization compares

Across 305 active specialist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1777 E Clark St Ste 310
Pocatello, ID 832013357
📞 2082324133fax 2082335736
Mailing address
1777 E Clark St Ste 310
Pocatello, ID 832013357
📞 2082324133fax 2082335736

Authorized official

Charles Pittman Lawless, M.D.
President
📞 2082324133

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    ID license #M-3434 taxonomy 174400000X

Identifiers

TypeValueNotes
01 (ID) 000010005308 REGENCE BLUE SHIELD OF ID
01 (ID) 07302 BLUE CROSS OF IDAHO

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • WALT'S OPTICAL SHOP
    Type code 3 recorded 2007-05-04

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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