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Individual

DR. PETER DOUGLAS LAWRASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1919 LATHROP ST, SUITE 101, FAIRBANKS, AK 99701-5937
(907) 452-1622
(907) 452-1664
Mailing address
1919 LATHROP ST, SUITE 101, FAIRBANKS, AK 99701-5937
(907) 452-1622
(907) 452-1664

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
AA2385
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007334
AK
Enumeration date
07/20/2006
Last updated
05/08/2015
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