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NPI Code Detail

MEDICARE: LAWRENCE W BENCE MD PC

MEDICARE: LAWRENCE W BENCE MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician15656AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11043275324OTHERAZNPI LEE HOLLIDAY FNP
21194713628OTHERAZLAWRENCE W BENCE MD

General Provider Information

NPI Number : 1255454286
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWRENCE W BENCE MD PC
Provider Business Mailing Address
First Line : PO BOX 669
Second Line : 150 S MAIN ST
City : FLORENCE
State : AZ
Zip : 85132-3012
Country : US
Telephone Number : 520-868-5811
Fax Number : 520-868-1223
Provider Business Practice Location Address
First Line : 150 S MAIN ST
Second Line :
City : FLORENCE
State : AZ
Zip : 85132-3012
Country : US
Telephone Number : 520-868-5811
Fax Number : 520-868-1223
Authorized Official
Title or Position : OWNER
Name : LAWRENCE W BENCE
Credential : MD
Telephone Number : 520-868-5811
Provider Enumeration Date : 04/06/2007
Last Update Date : 02/16/2012

Similar Medicare Providers

1043275324 — LEE HOLLIDAY FNP
Practice Location Address:
150 S MAIN ST
FLORENCE, AZ
85132-3012
Practice Phone: 520-868-5811
Practice Fax: 520-868-1223
1316941008 — ROBIN F EDWARDS FNP
Practice Location Address:
150 SOUTH MAIN STREET , SUITE 101
FLORENCE, AZ
85132
Practice Phone: 520-868-5811
Practice Fax: 520-868-1223
1932143617 — DR. ROY GRANDO PHD
Practice Location Address:
3250 N PINAL PKWY , MEDICAL UNIT
FLORENCE, AZ
85132-9459
Practice Phone: 520-868-8443
Practice Fax: 520-868-1547
1649349440 — DARIO LIZARRAGA M.D.
Practice Location Address:
660 SOUTH MAIN STREET
FLORENCE, AZ
85132
Practice Phone: 520-868-1400
Practice Fax: 520-868-1500
1235204827 — DR. WALTER DUAYNE STORM M.D.
Practice Location Address:
971 JASON LOPEZ CIR , BLDG B
FLORENCE, AZ
85132-2501
Practice Phone: 520-868-7000
Practice Fax: 520-868-7031
1700938503 — FLORENCE UNIFIED SCHOOL DISTRICT #1
Practice Location Address:
1000 S MAIN ST
FLORENCE, AZ
85132-8132
Practice Phone: 520-866-3500
Practice Fax:

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