Mark Allen Lawrence, PA

NPI #1912994252 in Teecnospos, Arizona

Provider Information

NPI Number: 1912994252
Entity Type: Individual
Name: Mark Allen Lawrence, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 3, 2005
Last Updated: Feb 21, 2008

Practice Location

Address: JCT US HWY 160 & NAVAJO ROUTE 35 RED MESA
City: Teecnospos
State: Arizona
ZIP Code: 86514
Phone: (928) 656-5165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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