Individual
DR. LAWRENCE BLUMEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 S CANDY LN, COTTONWOOD, AZ 86326-4188
(928) 639-3300
Mailing address
PO BOX 329, HUMBOLDT, AZ 86329-0329
(928) 632-1507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635013
—
AZ
Enumeration date
04/17/2006
Last updated
07/26/2007
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