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NPI Code Detail

MEDICARE: DR. ERIC ANDREW LAWRENCE PHARMD

MEDICARE:  DR. ERIC ANDREW LAWRENCE  PHARMD
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
1183500000XPharmacist20626NV

General Provider Information

NPI Number : 1528791498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC ANDREW LAWRENCE PHARMD
Provider Business Mailing Address
First Line : 8665 W HAMMER LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4011
Country : US
Telephone Number : 702-613-9651
Fax Number :
Provider Business Practice Location Address
First Line : 3655 W CRAIG RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0544
Country : US
Telephone Number : 702-613-9651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2022
Last Update Date : 07/07/2022

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Directions to “ DR. ERIC ANDREW LAWRENCE PHARMD” Practice Location

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