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Individual
DR. LAWRENCE J LAURIDSEN
Active
Individual
DR. LAWRENCE J LAURIDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9087A
WY
207Q00000X
Family Medicine Physician
995
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2012
Last updated
01/22/2020
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