Individual
LAWRENCE D BUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2561 S SAINT PAUL ST, DENVER, CO 80210-6218
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
43516
CO
2085R0202X
Diagnostic Radiology Physician
Primary
43516
CO
Other
Enumeration date
11/23/2005
Last updated
08/14/2013
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