Doctor Name: | LAWRENCE EDWARD ENDE |
NPI Number: | 1316002256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP-C |
License Number: | AP2531 |
Business Practice Address: | 26700 S Us Highway 85 Buckeye, AZ - 853265024 |
Business Phone Number: | 6233866160 |
Business Fax Number: | |
Mailing Address: | 26700 S Us Highway 85, BUCKEYE |
State: | AZ |
Postal Code: | 853265024 |
Phone Number: | 6233866160 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 08/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP2531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |