Individual
DR. JU U LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
717 WALNUT DR, PASO ROBLES, CA 93446-2315
(805) 238-5334
Mailing address
9201 N 5TH ST, PHOENIX, AZ 85020-2532
(623) 434-3943
(623) 321-6268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7277
OR
1223G0001X
General Practice Dentistry
D5255
AZ
1223P0221X
Pediatric Dentistry
Primary
57203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518011
—
AZ
Enumeration date
03/28/2006
Last updated
10/05/2017
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