# DR. DIETRICH ROBERT LAWRENZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215964481
- **Gender:** Man
- **Credential:** MD DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11096DDS | MN | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 04/24/2024