Individual
LAWRENCE T VERFURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-4025
Mailing address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-4025
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036090869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090869
—
IL
Enumeration date
07/09/2006
Last updated
01/20/2010
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