Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Lawlor, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1184988784

Jacob Lawlor, MSCCC-SLP is a Qualified Speech Language Pathologist in Richmond, California. Qualified in 2008, 18 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2012
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Practice location Address checks out

648 42nd St
Richmond, CA 94805-1818
Phone: (510) 730-6254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 17491 (CA)

Record details

NPI number1184988784
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJune 28, 2012
Last updated in NPPESFebruary 11, 2022
Mailing address648 42nd St, Richmond, CA 94805-1818

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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