Individual
DR. HOLLY LAWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 S ALMA SCHOOL RD, MESA, AZ 85210-2008
(480) 545-8119
(480) 892-6805
Mailing address
1201 S ALMA SCHOOL RD, STE 14000, MESA, AZ 85210-2096
(480) 456-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37074
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336662
—
AZ
01
—
P00624720
RAILROAD MEDICARE
AZ
Enumeration date
05/16/2008
Last updated
07/27/2018
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