Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 4584 | AZ |
NPI | 1982720900 |
---|---|
Provider Name | Dr. Lawrence David Paule |
First Address | Tolleson, AZ 85353-2805 |
Second Address | Tolleson, AZ 85353-2805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |