Individual
LAWRENCE I WOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9197 GRANT ST, SUITE 100, THORNTON, CO 80229-4361
(303) 869-2173
Mailing address
9197 GRANT ST, SUITE 100, THORNTON, CO 80229-4361
(303) 869-2173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31073
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01310739
—
CO
Enumeration date
08/21/2006
Last updated
04/05/2012
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