Individual
LAWRENCE HARLIN SUCKSTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2552 THORN OAK DR SPC 9, MEDFORD, OR 97501-1873
(458) 226-5386
Mailing address
2552 THORN OAK DR SPC 9, MEDFORD, OR 97501-1873
(458) 226-5386
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OR
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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