Provider Demographics
NPI:1497816441
Name:VAREY, LAWRENCE JOHN
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:JOHN
Last Name:VAREY
Suffix:
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 1:1209 W PINKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:COOLIDGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85228-9037
Mailing Address - Country:US
Mailing Address - Phone:520-723-9977
Mailing Address - Fax:520-723-9977
Practice Address - Street 1:1209 W PINKLEY AVE
Practice Address - Street 2:
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85228-9037
Practice Address - Country:US
Practice Address - Phone:520-723-9977
Practice Address - Fax:520-723-9977
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider