Individual
LAWRENCE AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 LAKEVIEW PKWY, SUITE 245, ROWLETT, TX 75088-9322
(972) 201-7988
(206) 202-3378
Mailing address
PO BOX 570492, DALLAS, TX 75357-0492
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M6489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AG370
BCBS
—
01
—
8F7271
MEDICARE
TX
Enumeration date
05/22/2007
Last updated
03/09/2010
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