NPI age
19 years
Enumerated 2007-05-04
● Active Type 2 · Organization
Charles P. Lawless, M.d., P.A.
Charles P. Lawless, M.d., P.A. is 1 of 305 specialist organizations in Idaho.
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
Mailing address
1777 E Clark St Ste 310
Pocatello, ID 832013357
Authorized official
Charles Pittman Lawless, M.D.
President
📞 2082324133
Specialties
-
Specialist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 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
Practice context
Single-site organization. Only one practice location on file.
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