NPI 1255560462

Jordan Lawrence, IDMT

Practitioner Independent Duty Medical Technicians Nellis Afb, NV

Practice location

Address: 1579 Malmstrom Avenue, Nellis Afb, NV 89191
Phone: (702) 652-1542

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1255560462
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2009
Record last updated: 23 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.