MEDICARE: THAO DIEN LAWRENCE FNP-C

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
1	363LF0000X	Family Nurse Practitioner	218136	AZ

General Provider Information

NPI Number	:	1942773726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THAO DIEN LAWRENCE FNP-C

Provider Business Mailing Address
First Line	:	4605 E ANNETTE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-9558
Country	:	US
Telephone Number	:	818-484-1966
Fax Number	:

Provider Business Practice Location Address
First Line	:	4605 E ANNETTE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-9558
Country	:	US
Telephone Number	:	818-484-1966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2019
Last Update Date	:	01/04/2019

Similar Medicare Providers

1760317747 — PRIME CURE PHARMACY LLC
Practice Location Address:

10240 N 31ST AVE STE 210A1
PHOENIX, AZ
85051-9558

Practice Phone: 602-830-0816
Practice Fax: 602-830-0826

1689668923 — COMMUNITY OF HELPING ANGELS, INC.
Practice Location Address:

10240 N 31ST AVE , SU. 114
PHOENIX, AZ
85051-9558

Practice Phone: 602-595-5129
Practice Fax: 602-938-3797

1962526335 — MAGELLAN HEALTH SERVICES OF ARIZONA, INC.
Practice Location Address:

10240 N 31ST AVE , #200
PHOENIX, AZ
85051-9558

Practice Phone: 602-997-9006
Practice Fax:

1922232925 — PARTNERS IN RECOVERY, LLC
Practice Location Address:

10240 N 31ST AVE , SUITE 101, 105, 109, 120, 200, 201, 218, 210A, 220
PHOENIX, AZ
85051-9558

Practice Phone: 480-969-3800
Practice Fax: 480-644-1557

1609221126 — TRACEY PARKER
Practice Location Address:

10240 N 31ST AVE , #200
PHOENIX, AZ
85051-9558

Practice Phone: 602-395-8147
Practice Fax: 602-997-4585

1730059676 — GINA FELETAR PMHNP-BC
Practice Location Address:

16601 N 40TH ST STE 216
PHOENIX, AZ
85032-3354

Practice Phone: 619-313-3507
Practice Fax:

Directions to “ THAO DIEN LAWRENCE FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.