Individual
MARY GILBERT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB NINTH FLOOR, CLINIC 9A, MINNEAPOLIS, MN 55455-0356
(612) 625-4400
Mailing address
420 DELAWARE ST SE MMC 493, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-4400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39818
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055131
—
MT
01
—
07G31LA
BCBS
MN
01
—
08-00043
MEDICA-PRIMARY
MN
01
—
0807421
MEDICA-CHOICE
MN
01
—
1019186
PREFERRED ONE
MN
01
—
117549
FAIRVIEW
MN
01
—
123055
UCARE
MN
01
—
822584
ARAZ
MN
01
—
HP28855
HEALTH PARTNERS
MN
Enumeration date
10/16/2006
Last updated
07/09/2007
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