Individual provider · Type 1 NPI

Lawrence Theodore Mazzei Matiski

Student in an Organized Health Care Education/Training Program · Tucson, AZ

NPI number 1811749872 Active

Practice location

5301 E Grant Rd
Tucson, AZ 85712-2805

Call (520) 324-5095 Map

Mailing address

1200 E River Rd Apt L162
Tucson, AZ 85718-5729

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811749872

Lawrence Theodore Mazzei Matiski's National Provider Identifier is 1811749872, issued on Apr 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucson, AZ. The record was last updated on Apr 28, 2024.