Individual
LAWRENCE MCKINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1722 W 9TH ST, HASTINGS, NE 68901-3608
(402) 462-6581
Mailing address
1722 W 9TH ST, HASTINGS, NE 68901-3608
(402) 462-6581
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12110
NE
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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