Organization
BROKEN BOW CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWN S LAWRENCE MD (PHYSICIAN OWNER)
(308) 872-6456
Entity
Organization
Contact information
Practice address
805 SOUTH F STREET, BROKEN BOW, NE 68822-0647
(308) 872-6456
(308) 872-6040
Mailing address
805 SOUTH F STREET, PO BOX 647, BROKEN BOW, NE 68822-0647
(308) 872-6456
(308) 872-6040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
09/19/2011
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