LAWRENCE A DECKER PA

GALLUP QUICK CLINIC PC

Dr LAWRENCE A DECKER PA is a male medical professional, specializing in Physician Assistant. He graduated in 2004.

Contact

GALLUP QUICK CLINIC PC

1850 E HWY 66
GALLUP
NM
873014955

Tel: 5057229334

LAWRENCE A DECKER PA Information

Npi 1093706699
Pac Id 1951363399
Professional Enrollment Id I20080314000235
Last Name DECKER
First Name LAWRENCE
Middle Name A
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2004
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GALLUP QUICK CLINIC PC
Group Practice Pac Id 4981926334
Number Of Group Practice Members 3
Line 1 Street Address 1850 E HWY 66
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GALLUP
State NM
Zip Code 873014955
Phone Number 5057229334
Hospital Affiliation Ccn 1 320038
Hospital Affiliation Lbn 1 REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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