Individual
MR. LAWRENCE A DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
531 VANDALIA ST, COLLINSVILLE, IL 62234-4061
(618) 344-0090
(618) 344-4371
Mailing address
2544 EIDMANN RD, BELLEVILLE, IL 62221-7701
(618) 566-8842
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
03/22/2007
Last updated
11/15/2007
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