Individual
JOSEPH J LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 SO. BURMA AVE, GILLETTE, WY 82716
(307) 688-1600
(307) 687-7243
Mailing address
P.O. BOX 638, GILLETTE, WY 82717
(307) 682-3078
(307) 687-7243
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5119A
WY
Other
Enumeration date
06/24/2005
Last updated
07/20/2010
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