Mr Ted L Laurence, PA is a
Physician Assistant - Medical based in Crowley, Colorado. Mr Ted L Laurence is licensed to practice in Colorado (license number 543) and his current practice location is
12750 Highway 96, Lane 13, Crowley, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 267-5071.
NPI number for Mr Ted L Laurence is 1346315769 and his current mailing address is 12750 Highway 96, Lane 13, Crowley, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346315769.
Provider's Profile
| Full Name | Mr Ted L Laurence |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 12750 Highway 96, Crowley, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346315769
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Ted L Laurence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346315769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 543 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ted L Laurence is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Ted L Laurence, PA
12750 Highway 96, Lane 13,
Crowley, CO 81034-0001
Ph: (719) 267-5071 | Mr Ted L Laurence, PA
12750 Highway 96, Lane 13,
Crowley, CO 81034-0001
Ph: (719) 267-5071 |
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