Mark Allen Lawrence, PA is a
Physician Assistant based in Teecnospos, Arizona. Mark Allen Lawrence is licensed to practice in Arizona (license number 1845) and his current practice location is
Jct Us Hwy 160 & Navajo Route 35 Red Mesa, Teecnospos, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 656-5165.
NPI number for Mark Allen Lawrence is 1912994252 and his current mailing address is Hcr 6100 Box 30, Teecnospos, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912994252.
Provider's Profile
| Full Name | Mark Allen Lawrence |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | Jct Us Hwy 160 & Navajo Route 35 Red Mesa, Teecnospos, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912994252
- Provider Enumeration Date: 10/03/2005
- Last Update Date: 02/21/2008
Medical Identifiers
Medical identifiers for Mark Allen Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912994252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1845 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Allen Lawrence is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Allen Lawrence, PA
Hcr 6100 Box 30,
Teecnospos, AZ 86514
Ph: (928) 656-5165 | Mark Allen Lawrence, PA
Jct Us Hwy 160 & Navajo Route 35 Red Mesa,
Teecnospos, AZ 86514
Ph: (928) 656-5165 |
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