Individual
MR. JOHN P. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MMSC
Contact information
Practice address
6310 E EXPOSITION AVE, DENVER, CO 80224
(720) 756-7162
Mailing address
PO BOX 2332, GYPSUM, CO 81637-2332
(719) 849-0784
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAL-2903
CO
363AM0700X
Medical Physician Assistant
0002903
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002903
COLORADO PA LICENSE
CO
Enumeration date
10/18/2009
Last updated
08/01/2024
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