Provider Demographics
NPI:1346546181
Name:BELL, LAWRENCE THOMAS SR
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:THOMAS
Last Name:BELL
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 SUNRISE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-4861
Mailing Address - Country:US
Mailing Address - Phone:702-837-3788
Mailing Address - Fax:
Practice Address - Street 1:3321 SUNRISE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-4861
Practice Address - Country:US
Practice Address - Phone:702-837-3788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner