Individual
PAUL LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14811 W KNIK VIEW DR, PALMER, AK 99645-9964
(907) 841-1719
Mailing address
1365 E PARKS HWY STE 101, WASILLA, AK 99654-8297
(907) 357-6445
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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