LAWRENCE WILSON


Address: 4950 S Indian Creek Rd, Prescott, AZ 86303-6180
Phone: 9284457690

LAWRENCE WILSON (NPI# 1528362662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528362662
Entity Type Individual
Full Name LAWRENCE WILSON
Practice Address 4950 S Indian Creek Rd
Prescott
AZ 86303-6180
Mailing Address Po Box 54
Prescott
AZ 86302-0054
Practice Telephone 9284457690
Enumeration Date 2011-01-04
Last Update Date 2011-01-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers

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Office Location

Street Address 4950 S INDIAN CREEK RD
City PRESCOTT
State AZ
Zip Code 86303-6180

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518447598 Jacqueline Schlosser Respite Care 237 S. Washington Ave., Prescott, AZ 86303 2018-08-18
1033699210 Anna Rachel Seno Psychologist 300 S Granite Street, Prescott, AZ 86303 2018-08-17
1871944322 Jessie Deverna Counselor 450 W Goodwin St Suite 103b, Prescott, AZ 86303 2016-06-27
1154782845 Walmart Pharmacy 1120 N. Opal Dr., Prescott, AZ 86303 2016-03-09
1710377650 Compass Recovery Center LLC Clinic/Center 711 S. Granite St, Prescott, AZ 86303 2015-01-30
1154727527 Anne Gurley Klever Pharmacist 500 Arizona 89, Prescott, AZ 86303 2014-11-13
1295131860 Kathi Sabot Registered Nurse 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 2014-11-10
1457697989 Kim K. Mcintyre Counselor 505 S. Cortez St., Prescott, AZ 86303 2013-01-03
1578885257 Wesley Carl Kitchens Counselor 315 W Goodwin St, Prescott, AZ 86303 2010-02-22
1588805907 Jacob Lee Bean Physical Therapist 6820 El Dorado Dr, Prescott, AZ 86303 2009-03-14
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1881219707 Gabrielle Hungate Nutritionist 10754 N Chapin Ct, Tucson, AZ 85737-6634 2020-06-16
1538780598 Penny Jean Stadick Nutritionist 20259 N Ryans Trl, Maricopa, AZ 85138-2446 2020-04-30
1275099020 David Medansky Nutritionist 11980 W Shifting Sands Dr, Peoria, AZ 85383-2623 2019-02-18
1306345780 Christine Inez Cintron Nutritionist 9231 E Carol Ave, Mesa, AZ 85208-2497 2018-02-12
1285143115 Charles Higgins Jr. Nutritionist 600 N 4th St Apt 272, Phoenix, AZ 85004-4485 2017-09-22
1326568486 Damian Dube Nutritionist 1503 N Rockwell St, Gilbert, AZ 85234-1436 2017-06-20
1427593391 Martha Imelda Huizar Nutritionist 2214 E Vera Cruz Vis, Tucson, AZ 85713-5199 2016-12-30
1639622434 Jenny Woelk Nutritionist 2757 S Pewter Dr, 102, Gilbert, AZ 85295-1282 2016-07-27
1356790158 Banner Umc Dpec Nutritionist 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 2016-06-13
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Competitor

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City PRESCOTT
Zip Code 86303

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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