Individual
LAWRENCE L DURISCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 OVERLOOK DR, GAINESVILLE, GA 30506-1767
(770) 536-9191
Mailing address
91 OVERLOOK DR, GAINESVILLE, GA 30506-1767
(770) 536-9191
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
013267
GA
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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