Lawrence, Bradley T

Lawrence, Bradley T is an individual health care provider with primary practice located at 710 W Bell Rd , Phoenix AZ 85023-3507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lawrence, Bradley T can be contacted via phone (602) 588-3800.

Contact Information

Primary practice address
710 W Bell Rd Phoenix AZ 85023-3507
Phone: (602) 588-3800
Fax: (602) 588-3671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10093 Arizona

Profile Details

NPI number 1184694663
LBN Legal business name Lawrence, Bradley T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 29th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184694663 NPPES
Arizona MEDICAID 208224

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