DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK ALLEN LAWRENCE, PA

Active

MARK ALLEN LAWRENCE, PA is a Physician Assistant healthcare provider located in TEECNOSPOS, Arizona. NPI 1912994252 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TEECNOSPOS, AZ

Registration Details

NPI Number
1912994252
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2005 (20.876820454121 yrs)
Last Updated
Feb 21, 2008
License
1845 (AZ)

Practice Information

Address
JCT US HWY 160 & NAVAJO ROUTE 35 RED MESA
TEECNOSPOS, AZ, 86514
Browse AZ providers · Browse ZIP 86514
Phone
9286565165
Fax
9286565164
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in TEECNOSPOS, AZ

Name Credential NPI
MR. RALPH HENRY SMITH JR. PA 1003157660
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.