Individual provider · Type 1 NPI
Ted L. Laurence, PA
Medical Physician Assistant · Crowley, CO
NPI number
1346315769
Active
Practice location
12750 Highway 96, Lane 13
Crowley, CO 81034-0001
Fax (719) 267-5079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 543 (CO) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Crowley
About NPI 1346315769
Ted L. Laurence, PA's National Provider Identifier is 1346315769, issued on Nov 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Crowley, CO. The record was last updated on Jul 8, 2007.