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Individual

DR. LAWRENCE RONALD HUTCHISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3375 LAKE RIDGE DR, DUBUQUE, IA 52003-7864
(563) 207-8932
(563) 207-8935
Mailing address
3375 LAKE RIDGE DR, DUBUQUE, IA 52003-7864
(563) 207-8932
(563) 207-8935

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
33988
IA
207Q00000X
Family Medicine Physician
Primary
33988
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080169117
RAILROAD MEDICARE
GA
01
12782
DEANHEALTHCARE NUMBER
IA
01
1639142805
NPI
IA
05
1985598
IA
01
25104
WELLMARK BCBS NUMBER
IA
01
IA0106
JOHN DEERE HEALTHCARE
IA
Enumeration date
02/08/2006
Last updated
12/10/2019
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