Individual
DR. DIETRICH ROBERT LAWRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
2519 COMMERCE DR NW STE 110, ROCHESTER, MN 55901-4433
(507) 281-5000
Mailing address
290 LYTHRUM LN, MEDINA, MN 55340
(612) 788-9246
(612) 788-5511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11096DDS
MN
Other
Enumeration date
06/26/2006
Last updated
04/24/2024
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