Individual
MARK T LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8955 S PECOS RD, 1-A, HENDERSON, NV 89074-7156
(702) 474-7212
(702) 474-7458
Mailing address
7301 PEAK DR, 150, LAS VEGAS, NV 89128-9037
(702) 804-0026
(702) 243-4769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0492
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023024999
—
NV
Enumeration date
07/31/2006
Last updated
03/15/2012
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