Individual
LAWRENCE P BARTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1777 NE LOOP 410 STE 704, SAN ANTONIO, TX 78217-5217
(210) 467-5033
(210) 467-5035
Mailing address
PO BOX 637999, CINCINNATI, OH 45263-7999
(317) 682-2030
(317) 644-5060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000331A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000723894
ANTHEM
IN
01
—
7880654
AETNA
IN
Enumeration date
04/20/2006
Last updated
05/01/2014
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