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Individual

LAWRENCE P SHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27463
AZ
207X00000X
Orthopaedic Surgery Physician
29078
OK
207X00000X
Orthopaedic Surgery Physician
Primary
KS04-35007
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100012780H
KS
05
200458780A
OK
05
487084.
AZ
Enumeration date
08/16/2005
Last updated
10/04/2013
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