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Ms. Cynthia Lawrence
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NPI Number Detailed Information
Provider Information:
Name: | Ms. Cynthia Lawrence |
Gender: | F |
Provider License Number If Given: | 2655 |
NPI Information:
NPI: | 1568461093 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/18/2005 |
Last Update Date: | 8/8/2013 |
Provider Business Mailing Address:
Address: | 2246 E PARKSIDE DR Mohave Valley, AZ 86440 |
Phone Number: | 9283302246 |
Fax Number: | 9285542246 |
Provider Business Practice Location Address:
Address: | 3357 E. PARKSIDE DRIVE Mohave Valley, AZ 86440 |
Phone Number: | 9283392246 |
Fax Number: | 9285542246 |
Provider Taxonomy:
Primary: | 363AM0700X |
Secondary (if any): | |
State: | AZ |