Mark Allen Lawrence in Teecnospos - Physician Assistant

Mark Allen Lawrence - NPI 1912994252

Mark Allen Lawrence is a Physician Assistant in Teecnospos, Arizona. Mark Allen Lawrence practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Allen Lawrence is 1912994252. The last update date is 2008-02-21.

Mark Allen Lawrence's current location address is Hcr 6100 Box 30, Teecnospos, Arizona. You can contact this provider via phone number 9286565165 and fax number 9286565164. The mailing address for Mark Allen Lawrence is Hcr 6100 Box 30, Teecnospos, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Allen Lawrence
Address Hcr 6100 Box 30, Teecnospos, Arizona
Phone Number 9286565165
Fax Number 9286565164
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1912994252
Provider Enumeration Date 2005-10-03
Last Updated Date 2008-02-21

Provider Mailing Address Detail

Address Hcr 6100 Box 30
City Teecnospos
State Arizona (AZ)
Post Code 86514
Phone Number 9286565165
Fax Number 9286565164

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1845
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6831371 NM --
9358251 CO --

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FAQs about Mark Allen Lawrence

What is the unique identification code assigned to Mark Allen Lawrence by the Centers for Medicare & Medicaid Services?

The Mark Allen Lawrence has been issued the NPI (National Provider Identifier) 1912994252. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mark Allen Lawrence is located?

The Mark Allen Lawrence is situated at the following address: Hcr 6100 Box 30, Teecnospos, AZ, 86514.

What is Mark Allen Lawrence's area of expertise and its corresponding taxonomy classification?

The Mark Allen Lawrence's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Mark Allen Lawrence receive the assignment of its 1912994252 from the Centers for Medicare & Medicaid Services?

The Mark Allen Lawrence was issued its 1912994252 by the Centers for Medicare & Medicaid Services on 2005-10-03.

As of what date was the information regarding Mark Allen Lawrence, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark Allen Lawrence, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-21.

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