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Individual
MR. LAWRENCE R BERG
Active
Individual
MR. LAWRENCE R BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ENP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP112512
TX
363LF0000X
Family Nurse Practitioner
Primary
AP112512
TX
Other
Enumeration date
07/10/2006
Last updated
07/21/2022
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