Individual
LAWRENCE EUGENE SHAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9860 S ESTRELLA PKWY, GOODYEAR, AZ 85338-7149
(785) 424-4081
Mailing address
9860 S ESTRELLA PKWY, GOODYEAR, AZ 85338-7149
(785) 424-4081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004076E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450786
HIGHMARK
—
01
—
650020674
RR MEDICARE
—
Enumeration date
09/12/2005
Last updated
03/29/2018
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