Provider Demographics
NPI:1194945402
Name:FELD, LAWRENCE F (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:F
Last Name:FELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2730 S. VAL VISTA DR.
Mailing Address - Street 2:SUITE 169
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-9934
Mailing Address - Country:US
Mailing Address - Phone:480-981-8339
Mailing Address - Fax:480-981-8235
Practice Address - Street 1:2730 S. VAL VISTA DR.
Practice Address - Street 2:SUITE 169
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-9934
Practice Address - Country:US
Practice Address - Phone:480-981-8339
Practice Address - Fax:480-981-8235
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ17663207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine