Individual
MR. LAWRENCE BRUCE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AC. L.AC.
Contact information
Practice address
8000 HWY 35, SUITE 4, BIGFORK, MT 59911
(571) 239-1728
Mailing address
PO BOX 1548, BIGFORK, MT 59911-1548
(571) 239-1727
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MED-ACU-LIC-37875
MT
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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