MR. JORDAN LAWRENCE IDMT
NPI 1255560462
Military Health Care Provider - Independent Duty Medical Technicians in Nellis Afb, NV

Active since July 09, 2009
1579 MALMSTROM AVENUE, NELLIS AFB, NV 89191(702) 652-1542 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jordan Lawrence Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JORDAN LAWRENCE IDMT (NPI 1255560462) is an individual independent duty medical technicians provider in Nellis Afb, Nevada and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1255560462
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. JORDAN LAWRENCECredential: IDMT
Location Address1579 MALMSTROM AVENUENellis Afb, NV 89191
Mailing Address1579 Malmstrom AvenueNellis Afb, NV 89191 · (702) 652-1542
Sole ProprietorNo
Enumeration DateJuly 9, 2009
Last NPPES UpdateJuly 23, 2009
NPI 1255560462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
1579 MALMSTROM AVENUE, Nellis Afb, NV 89191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Lawrence's NPI number?

The NPI number for Jordan Lawrence is 1255560462. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Jordan Lawrence located?

Jordan Lawrence practices at 1579 Malmstrom Avenue, Nellis Afb, NV 89191. The listed phone number is (702) 652-1542.

What is Jordan Lawrence's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jordan Lawrence was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.