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Individual

LAURENCE M. SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1813 W HARVARD AVE, SUITE 426, ROSEBURG, OR 97471-2752
(541) 459-1611
(541) 459-5741
Mailing address
PO BOX 2346, ROSEBURG, OR 97470-0462
(541) 459-1611
(541) 459-5741

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO15192
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150144
OR
Enumeration date
08/31/2005
Last updated
10/10/2011
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