Individual
MICHAEL LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4545 N. 67TH AVE., UNIT 1176, PHOENIX, AZ 85033
(928) 504-4700
Mailing address
4545 N 67TH AVE UNIT 1176, PHOENIX, AZ 85033-1677
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
227837
AZ
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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