Individual
DR. LAWRENCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 W MISSOURI AVE, 108, PHOENIX, AZ 85015-3047
(602) 249-0864
(602) 944-1265
Mailing address
1815 W MISSOURI AVE, 108, PHOENIX, AZ 85015-3047
(602) 249-0864
(602) 944-1265
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10312
AZ
Other
Enumeration date
08/29/2006
Last updated
12/07/2007
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