LAWRENCE THEODORE MAZZEI MATISKI
NPI 1811749872
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Active since April 03, 2024PECOS Enrolled
5301 E GRANT RD, TUCSON, AZ 85712(520) 324-5095 Get Directions Write a Review

NPPES record last updated: April 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2024, Apr 3, 2024 (2 updates tracked since 2024).

About Lawrence Theodore Mazzei Matiski NPPES

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

LAWRENCE THEODORE MAZZEI MATISKI (NPI 1811749872) is an individual student in an organized health care education/training program in Tucson, Arizona and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811749872
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLAWRENCE THEODORE MAZZEI MATISKI
Location Address5301 E GRANT RDTucson, AZ 85712-2805
Mailing Address1200 E River Rd Apt L162Tucson, AZ 85718-5729 · (602) 460-9415
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateApril 28, 20242 updates tracked since enumeration
NPPES CertifiedApril 28, 2024
NPI 1811749872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5301 E GRANT RD, Tucson, AZ 85712

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lawrence Theodore Mazzei Matiski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
5301 E GRANT RD, THMEP
TUCSON, AZ 85712
Pharmacist
5301 E GRANT RD
TUCSON, AZ 85712
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Internal Medicine
5301 E GRANT RD
TUCSON, AZ 85712
Registered Nurse (Lactation Consultant)
5301 E GRANT RD
TUCSON, AZ 85712
Nurse Practitioner (Family)
5301 E GRANT RD
TUCSON, AZ 85712
Nurse Practitioner (Gerontology)
5301 E GRANT RD
TUCSON, AZ 85712

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 Lawrence Matiski's NPI number?

The NPI number for Lawrence Matiski is 1811749872. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Lawrence Matiski located?

Lawrence Matiski practices at 5301 E Grant Rd, Tucson, AZ 85712. The listed phone number is (520) 324-5095.

What is Lawrence Matiski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lawrence Matiski enrolled in Medicare?

Yes. Lawrence Matiski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lawrence Matiski was last updated on April 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.