Individual
LAWRENCE D FLADUNG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3406
(906) 225-3094
Mailing address
128 OLD KILN RD, MARQUETTE, MI 49855-8931
(906) 249-3052
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704125020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43400300
WISC MEDICAID PIN
WI
01
—
LF125020
BLUESHIELD PIN
MI
Enumeration date
11/14/2005
Last updated
07/09/2007
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