Individual
DR. LAWRENCE J LAURIDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 COLLEGE DR, ROCK SPRINGS, WY 82901-4202
(307) 212-7708
(307) 352-8148
Mailing address
PO BOX 1359, ROCK SPRINGS, WY 82902-1359
(307) 212-7708
(307) 352-8148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9087A
WY
207Q00000X
Family Medicine Physician
995
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2012
Last updated
01/22/2020
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