Conrad M Lawrence MD

NPI 1528383130 - Family Medicine - 207Q00000X

NPI Details
NPI 1528383130
Gender Male
Enumeration Date 04/07/2010
Last Updated 01/06/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
2080 W SOUTHERN AVE
BLDG. B10
APACHE JUNCTION AZ, 85120-7455, US
Phone (480) 351-2850
Fax (480) 351-2851
Business Location
PO BOX 10097
CASA GRANDE AZ, 85130-0020, US
Phone (480) 351-2850
Fax (480) 351-2851
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number 48947
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According to our database, Conrad M Lawrence MD NPI is 1528383130, taxonomy code is 207Q00000X and license number is 48947, license state is located at Arizona. Conrad M Lawrence MD physically located at 2080 W Southern Ave, Apache Junction AZ, 85120-7455. NPI Number Conrad M Lawrence MD has the Individual type.

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1528383130 NPI number is provided on an as is basis without warranty of any kind. 1528383130 is maintained by the National Plan & Provider Enumeration System. The contents of Conrad M Lawrence MD are for informational purposes only.