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Individual

DR. LAWRENCE EDWARD MORRISSEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37829
MN
208000000X
Pediatrics Physician
41766
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32224100
WI
05
789516000
MN
Enumeration date
11/29/2005
Last updated
02/14/2011
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