Individual
MICHAEL LAWRENCE DRERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3704 NORTH BLVD, SUITE C, ALEXANDRIA, LA 71301-3606
(318) 443-4576
(318) 449-5579
Mailing address
3704 NORTH BLVD, SUITE C, ALEXANDRIA, LA 71301-3606
(318) 443-4576
(318) 449-5579
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD.017263
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1387797
—
LA
Enumeration date
07/13/2005
Last updated
01/13/2025
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