Individual
DR. LAURENCE A. WOLPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1005 N 67TH AVE, OMAHA, NE 68132-1115
(402) 551-6275
Mailing address
PO BOX 31370, OMAHA, NE 68131-0370
(402) 551-6275
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5733
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005220
—
SD
Enumeration date
05/11/2006
Last updated
07/08/2007
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