# LAWRENCE W BENCE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255454286
- **Authorized official:** LAWRENCE W BENCE MD (OWNER)
- **Authorized official phone:** (520) 868-5811

## Contact information

- **Practice address:** 150 S MAIN ST, FLORENCE, AZ 85132-3012
- **Practice address phone:** (520) 868-5811
- **Practice address fax:** (520) 868-1223
- **Mailing address:** PO BOX 669, 150 S MAIN ST, FLORENCE, AZ 85132-3012
- **Mailing address phone:** (520) 868-5811
- **Mailing address fax:** (520) 868-1223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 15656 | AZ | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 02/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1043275324 | NPI LEE HOLLIDAY FNP | AZ |
| 01 | — | 1194713628 | LAWRENCE W BENCE MD | AZ |