Individual
DR. VICTOR LAWRINENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 776-2600
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31984
IA
207RG0100X
Gastroenterology Physician
Primary
31984
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158519
—
IA
Enumeration date
06/18/2006
Last updated
09/01/2020
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