Decker, Lawrence Andrew
Decker, Lawrence Andrew is an sole proprietor health care provider with primary practice located at 3451 N Butler Ave , Farmington NM 87401. He recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as his primary health care specialty. Decker, Lawrence Andrew can be contacted via phone (505) 566-1915.Contact Information
Primary practice address
3451 N Butler Ave
Farmington NM 87401
Phone: (505) 566-1915
Fax: (505) 566-1918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | PA2006-0011 | New Mexico |
Profile Details
| NPI number | 1093706699 |
|---|---|
| LBN Legal business name | Decker, Lawrence Andrew |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Apr 23rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093706699 | NPPES |
| New Mexico | MEDICAID | 66439833 | |
| New Mexico | MEDICAID | 875114 | |
| New Mexico | MEDICAID | 19375336 |
Popular Providers
-
Marra, Joseph F.
400 Harding St , Clayton NM 88415-3339 -
Buckmaster, James Edward
327 2Nd St Ste B , Henderson KY 42420-3139 -
Gabbert, William F
3850 W Greenway Rd Ste 150 , Phoenix AZ 85053-3731 -
Osaro, Oduah Daniel
108 S 4Th St , Clinton IA 52732-4425 -
Barnett, Jordan Biet
307 S Evergreen Ave , Woodbury NJ 08096-2739 -
Sandidge, Darryl
1260 N Arendell Ave , Zebulon NC 27597-8730 -
Cornett, Edgar S
1710 Harper Rd , Beckley WV 25801-3357 -
Heard, Michael
7500 Beechnut St Ste 308 , Houston TX 77074-4337