Lawrence Wieland in Mesa - Addiction (substance Use Disorder)
Lawrence Wieland - NPI 1598987703
Lawrence Wieland is a Addiction (substance Use Disorder) in Mesa, Arizona. Lawrence Wieland practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lawrence Wieland is 1598987703. The last update date is 2007-07-08.
Lawrence Wieland's current location address is 2950 S Alma School Rd, Mesa, Arizona. You can contact this provider via phone number 4804300169. The mailing address for Lawrence Wieland is 2950 S Alma School Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Wieland |
|---|---|
| Address | 2950 S Alma School Rd, Mesa, Arizona |
| Phone Number | 4804300169 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LISAC |
NPI Number Detail
| NPI Number | 1598987703 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2950 S Alma School Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852104035 |
| Phone Number | 4804300169 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LISAC0673 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 173036 | AZ | -- |
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What is the unique identifier code issued to Lawrence Wieland by the Centers for Medicare & Medicaid Services (CMS)?
The Lawrence Wieland has been assigned the NPI (National Provider Identifier) 1598987703. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lawrence Wieland located?
The Lawrence Wieland is located at 2950 S Alma School Rd, Mesa, AZ 852104035.
What is the Lawrence Wieland's specialty and taxonomy code?
The Lawrence Wieland's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598987703 to Lawrence Wieland?
The Centers for Medicare & Medicaid Services assigned the 1598987703 to Lawrence Wieland on 2007-05-03.
As of what date were the details related to Lawrence Wieland most recently updated or revised?
The information pertaining to Lawrence Wieland, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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