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Deactivated NPI 1619083987 Deactivated / Inactive NPI Male Practitioner

Dr. Lawrence Marvin Clark , MD

General Practice • Tucson, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lawrence Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2006
NPI Deactivation Date August 07, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Lawrence Clark, MD was a registered General Practice practicing in Tucson, AZ. Throughout an active medical career spanning 19 years, Dr. Clark provided care at the practice location at 1002 W SAN MARTIN DR until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

1002 W San Martin Dr

Tucson, AZ 857043143

Telephone 5207420716
Fax 5205758368

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Tucson, AZ (259 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AZ 12309

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Sandra Clark , MD

Family Medicine

NPI 1578666046

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1002 W SAN MARTIN DR, TUCSON, AZ 857043143 (Tel: 5207420716)

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Updated Business Mailing Address July 08, 2007

Registered at 1002 W SAN MARTIN DR, TUCSON, AZ 857043143 (Tel: 5207420716)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LAWRENCE CLARK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #12309 in AZ)

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Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619083987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: July 08, 2007
Deactivation Date: August 07, 2025

Mailing Address

1002 W San Martin Dr

Tucson, AZ 857043143

Phone: 5207420716

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.