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Individual

LAWRENCE G MULHERN

Active
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Individual

LAWRENCE G MULHERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33599
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127633
MEDICA
—
01
—
080125049
RAILROAD MEDICARE
—
01
—
107866
UCARE MEDICAL ASSIST
—
01
—
107866C620
UCARE FOR SENIOR
—
05
—
339860900
—
MN
01
—
5F081MU
BLUE CROSS
—
01
—
FP1420457006
PREFERRED ONE
—
01
—
FP2354
AMERICAS PPO
—
Enumeration date
08/10/2005
Last updated
04/05/2012
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