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LANDAU P. LAWRENCE M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1639120538
Individual Registrant: LANDAU P. LAWRENCE M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
26 TUBAC ROAD SUITE B TUBAC, AZ 85646-1990 US
Tel: 520-398-9054 Fax: 520-398-2944
Tel: 520-398-9054 Fax: 520-398-2944
Contact information for business:
PO BOX 1990 TUBAC, AZ 85646-1990 US
Tel: 520-398-9054 Fax: 520-398-2944
Tel: 520-398-9054 Fax: 520-398-2944
Registration Information:
NPI: 1639120538
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AZ | 27940 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
