Individual
DR. ELLIOT LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
15886
ND
208M00000X
Hospitalist Physician
15886
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2016
Last updated
06/28/2024
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