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Lawrence Theodore Mazzei Matiski
Student in an Organized Health Care Education/Training Program in Tucson, Arizona
NPI 1811749872

Lawrence Theodore Mazzei Matiski is a Student in an Organized Health Care Education/Training Program based in Tucson, AZ. Lawrence Theodore Mazzei Matiski practices in Tucson, AZ. The NPI Number for Lawrence Theodore Mazzei Matiski is 1811749872 and holds a License No. (Arizona).

The current practice location address for Lawrence Theodore Mazzei Matiski is 5301 E Grant Rd, Tucson, AZ and can be reached out via phone at 520-324-5095.

Location: 5301 E Grant Rd, Tucson, AZ, 85718-5729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811749872
Provider Name
Lawrence Theodore Mazzei Matiski
Credential
Provider Entity Type
Individual
Gender
Male
Address
5301 E Grant Rd, Tucson, AZ, 85718-5729
Phone Number
520-324-5095
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
5301 E Grant Rd
City
Tucson
State
Arizona
Zip
85712-2805
Phone Number
520-324-5095
Fax Number
person
Provider Business Mailing Address Details
Address
5301 E Grant Rd
City
Tucson
State
Arizona
Zip
85712-2805
Phone Number
520-324-5095
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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