Individual
DR. LAWRENCE A POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 S DOBSON RD, CHANDLER, AZ 85224-5605
(480) 728-3753
(480) 728-3753
Mailing address
475 S DOBSON RD, CHANDLER, AZ 85224-5605
(480) 728-3753
(480) 728-3753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25105
AZ
207P00000X
Emergency Medicine Physician
6007
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641
BCBC ER GROUP
—
05
—
0034714
—
MT
Enumeration date
02/07/2006
Last updated
10/15/2009
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