Lawrence, Jordan

Lawrence, Jordan is an individual health care provider with primary practice located at 1579 Malmstrom Avenue , Nellis Afb NV 89191. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Lawrence, Jordan can be contacted via phone (702) 652-1542.

Contact Information

Primary practice address
1579 Malmstrom Avenue Nellis Afb NV 89191
Phone: (702) 652-1542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1255560462
LBN Legal business name Lawrence, Jordan
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Jul 23rd, 2009 - about 15 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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