Provider Demographics
NPI:1790757706
Name:FINKEL, LAWRENCE I (DO)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:I
Last Name:FINKEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97641
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193-7641
Mailing Address - Country:US
Mailing Address - Phone:855-613-5393
Mailing Address - Fax:
Practice Address - Street 1:19829 N 27TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4001
Practice Address - Country:US
Practice Address - Phone:623-879-5720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18832085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z7086OtherHEALTH NET OF ARIZONA
AZXTE004920OtherMEDI-CAL MEDICAID
AZAZ0221810OtherBCBSAZ
AZ300035117Medicare PIN
AZZ121416Medicare PIN
AZXTE004920OtherMEDI-CAL MEDICAID
AZZ25034Medicare PIN
E20696Medicare UPIN
AZZ121148Medicare PIN
AZZ285610Medicare PIN
AZZWCHQV1HMedicare PIN
AZZWCHLX1HMedicare PIN