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Search › Arizona › 253J00000X

Tanisha Lawrence

NPI 1881863579 · on the registry since 2008 · sole proprietor

Practice

Address
8705 W Morten Ave
Glendale, AZ 85305
Phone
(623) 210-5169
Fax
(602) 455-4624
Organisation at this address
Avid Support Resources Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253J00000X
253J00000X
Also registered as
385HR2055X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona