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Individual

LAWRENCE ROY BIGONGIARI

Active
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Individual

LAWRENCE ROY BIGONGIARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E1357
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133267001
AR
01
17884000000
QUAL CHOICE
AR
01
5K655
BLUE CROSS BLUE SHIELD
AR
01
770063601
BREAST CARE
AR
01
P00234464
RAILROAD MEDICARE
AR
Enumeration date
06/14/2005
Last updated
03/30/2011
Update your record

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