Individual
MR. LAWRENCE WALTER DUPEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16526 SW 137TH AVE, BROOKER, FL 32622-2357
(352) 342-4624
Mailing address
16526 SW 137TH AVE, BROOKER, FL 32622-2357
(352) 342-4624
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA58786
FL
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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