Individual
MR. JEFFREY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
NAVAJO ROUTE 4, PINON, AZ 86510
(928) 674-7001
(928) 674-7705
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 24589
CA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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