MR. JORDAN LAWRENCE, IDMT

Military Health Care Provider - Independent Duty Medical Technicians

Active Individual
NPI: 1255560462

Practice Address

1579 MALMSTROM AVENUE
Nellis Afb, NV 89191

Phone: (702) 652-1542

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Medical Technicians 1710I1003X Yes -

Frequently Asked Questions

NPI 1255560462 is the National Provider Identifier for MR. JORDAN LAWRENCE, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Nellis Afb, NV. This NPI was enumerated on July 9, 2009.
MR. JORDAN LAWRENCE, IDMT practices at 1579 MALMSTROM AVENUE, Nellis Afb, NV 89191.

Quick Facts

NPI
1255560462
Type
Individual
Enumerated
Jul 9, 2009
Last Updated
Jul 23, 2009

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