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Individual
JOHN ANDREW LAURENCE
Active
Individual
JOHN ANDREW LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55585
CA
363A00000X
Physician Assistant
PA04581
TX
363AS0400X
Surgical Physician Assistant
PA04581
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180370201
—
TX
Enumeration date
11/29/2005
Last updated
02/11/2025
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