Doctor Name: | MARK T LAWRENCE |
NPI Number: | 1023024999 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 0492 |
Business Practice Address: | 8955 S Pecos Rd 1-a Henderson, NV - 890747156 |
Business Phone Number: | 7024747212 |
Business Fax Number: | 7024747458 |
Mailing Address: | 7301 Peak Dr, 150 LAS VEGAS |
State: | NV |
Postal Code: | 891289037 |
Phone Number: | 7028040026 |
Fax Number: | 7022434769 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0492 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |