Individual
LAWRENCE JAMES KOEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2218 N 3RD ST, PHOENIX, AZ 85004-1401
(602) 252-2543
(602) 252-3861
Mailing address
2218 N 3RD ST, PHOENIX, AZ 85004-1401
(602) 252-2543
(602) 252-3861
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
12409
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230483
—
AZ
Enumeration date
06/15/2005
Last updated
09/23/2013
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