Individual
MR. LAWRENCE EDWARD KIRVEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
497 W LOTT ST, BUFFALO, WY 82834-1609
(307) 684-2228
(307) 684-2177
Mailing address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-2228
(307) 684-2177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3776A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1047122300
—
WY
01
—
302645
BLUE CROSS
WY
01
—
303643
BLUE CROSS
WY
Enumeration date
01/09/2006
Last updated
07/08/2007
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