Individual
DR. LAWRENCE R RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6677 W. THUNDERBIRD ROAD, C-142, GLENDALE, AZ 85306-3760
(623) 247-1081
(623) 247-2962
Mailing address
PO BOX 41908, PHOENIX, AZ 85080-1908
(602) 973-3100
(602) 973-0978
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263814
—
AZ
Enumeration date
06/08/2006
Last updated
04/06/2015
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