Individual
DR. MICHAEL GENE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3470 RIVER RAPIDS DR NW, COON RAPIDS, MN 55448-4101
(763) 427-1156
Mailing address
10810 287TH AVE NW, ZIMMERMAN, MN 55398-4343
(763) 389-7993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117204
MN
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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