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Individual
CONRAD M LAWRENCE
Active
Individual
CONRAD M LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48947
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031918
MEDICARE
—
01
—
Z168007
MEDICARE
—
Enumeration date
04/07/2010
Last updated
07/21/2022
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