NPI 1912994252

Mark Allen Lawrence, PA

Practitioner Physician Assistant Teecnospos, AZ

Practice location

Address: Jct US Hwy 160 & Navajo Route 35 Red Mesa, Teecnospos, AZ 86514
Phone: (928) 656-5165
Fax: (928) 656-5164
Mailing address: Hcr 6100 Box 30, Teecnospos, AZ 86514

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1845 (AZ)

Other Physician Assistant providers in Arizona →

Registry record

NPI: 1912994252
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2005
Record last updated: 21 Feb 2008

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.