Organization
LAWRENCE W BENCE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE W BENCE MD (OWNER)
(520) 868-5811
Entity
Organization
Contact information
Practice address
150 S MAIN ST, FLORENCE, AZ 85132-3012
(520) 868-5811
(520) 868-1223
Mailing address
PO BOX 669, 150 S MAIN ST, FLORENCE, AZ 85132-3012
(520) 868-5811
(520) 868-1223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15656
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043275324
NPI LEE HOLLIDAY FNP
AZ
01
—
1194713628
LAWRENCE W BENCE MD
AZ
Enumeration date
04/06/2007
Last updated
02/16/2012
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