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LAWRENCE DANIEL MERKET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(435) 890-2605
Mailing address
90 PINEWOOD DR, LOGAN, UT 84321-4700
(435) 890-2605

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60896020
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/05/2018
Last updated
07/26/2024
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