Organization
KENNETH G. LAWLOR, DO, PLLC
Active
Other names
Canyon State Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GAYLE LAWLOR DO (OWNER)
(928) 717-8838
Entity
Organization
Contact information
Practice address
2060 W WHISPERING WIND DR STE 264, PHOENIX, AZ 85085-2869
(623) 235-6889
(623) 235-6877
Mailing address
3108 CLEARWATER DR STE A, PRESCOTT, AZ 86305-7170
(928) 717-8838
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
06/06/2020
Last updated
06/06/2020
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