MR. Jordan Lawrence, IDMT
NPI #1255560462 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1255560462
- Entity Type
- Individual
- Name
- MR. Jordan Lawrence, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Jul 9, 2009
- Last Updated
- Jul 23, 2009
Practice Location
- Address
- 1579 MALMSTROM AVENUE
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191
- Phone
- (702) 652-1542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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