Individual
MR. LAWRENCE JAMES DUBRAY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
SOUTH SOLDIER CREEK RD HOSPITAL, ROSEBUD PHS IHS, SD 57570
(605) 747-2231
(605) 747-5352
Mailing address
PO #152, MISSION, SD 57555
(605) 747-4077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0102
SD
Other
Enumeration date
03/16/2006
Last updated
11/10/2011
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