Individual
LAWRENCE MICHAEL MOHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2247 E 4TH ST, TUCSON, AZ 85719
(520) 319-2314
(520) 626-6134
Mailing address
2247 E 4TH ST, TUCSON, AZ 85719
(520) 319-2314
(520) 626-6134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8438
AZ
207Q00000X
Family Medicine Physician
Primary
8438
AZ
2083P0901X
Public Health & General Preventive Medicine Physician
8438
AZ
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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