Individual
LAWERENCE RAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3296 E WARBLER RD, GILBERT, AZ 85297-8233
(480) 279-4113
Mailing address
3296 E WARBLER RD, GILBERT, AZ 85297-8233
(480) 279-4113
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
10838
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088468
—
AZ
Enumeration date
01/22/2007
Last updated
07/09/2007
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