Individual
DR. LAWRENCE W. HAKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 N ALPHA ST, GRAND ISLAND, NE 68803-4316
(308) 381-0473
(308) 381-2616
Mailing address
620 N ALPHA ST, GRAND ISLAND, NE 68803-4316
(308) 381-0473
(308) 381-2616
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14374
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7241
BCBS
NE
Enumeration date
08/11/2005
Last updated
07/08/2007
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