Active NPI
Mary Ellen Lawrence MD
- Infectious Disease Physician
- Santa Fe, NM
National Provider Identifier
1245327303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- MARY ELLEN LAWRENCE MD
- Practice address
- 1482 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4098 - Phone
- (480) 985-1093
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Ellen Lawrence, MD
- Title
- Owner
- Phone
- (480) 985-1093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
1482 S Saint Francis Dr Ste C
Santa Fe, NM 87505-4098
Mailing address
PO Box 6970
Mesa, AZ 85216-6970
Phone (480) 985-1093
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245327303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6970",
"city": "MESA",
"state": "AZ",
"postal_code": "852166970",
"telephone_number": "480-985-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1482 S SAINT FRANCIS DR STE C",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054098",
"telephone_number": "480-985-1093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY ELLEN LAWRENCE MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-985-1093",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.