Individual
DR. LAWRENCE P GASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18404 N TATUM BLVD, STE 205, PHOENIX, AZ 85032-1509
(602) 971-5500
(602) 944-0504
Mailing address
18404 N TATUM BLVD, STE 205, PHOENIX, AZ 85032-1509
(602) 971-5500
(602) 944-0504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19150
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110213982
RR MEDICARE ID
—
01
—
19150
LICENSE
AZ
Enumeration date
08/04/2006
Last updated
03/22/2011
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