Organization
MARY ELLEN LAWRENCE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELLEN LAWRENCE MD (OWNER)
(480) 985-1093
Entity
Organization
Contact information
Practice address
1482 S SAINT FRANCIS DR STE C, SANTA FE, NM 87505-4098
(480) 985-1093
Mailing address
PO BOX 6970, MESA, AZ 85216-6970
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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