Individual
MONICA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10815 W MCDOWELL RD STE 202, AVONDALE, AZ 85392-5010
(623) 433-0202
(623) 433-0204
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-00859
KS
363A00000X
Physician Assistant
Primary
7879
AZ
363A00000X
Physician Assistant
PA60317852
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881667533
—
WA
01
—
315439
L&I POST 7/21/13
WA
01
—
P01257181
RR MEDICARE
WA
Enumeration date
02/10/2006
Last updated
06/05/2020
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