Provider Demographics
NPI:1376521633
Name:TEMKIN, LAWRENCE P (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:P
Last Name:TEMKIN
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 1:3375 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2306
Mailing Address - Country:US
Mailing Address - Phone:520-838-2105
Mailing Address - Fax:520-838-2260
Practice Address - Street 1:445 N SILVERBELL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2685
Practice Address - Country:US
Practice Address - Phone:520-624-8935
Practice Address - Fax:520-624-2798
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ9916207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ235897Medicaid
AZZ20477Medicare PIN
AZ235897Medicaid
D00426Medicare UPIN
AZZ20478Medicare PIN