Individual
DR. LAWRENCE DAVID DEAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2968
(763) 572-5710
(763) 782-8100
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38800
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102809
MEDICA
MN
01
—
08F14DE
BCBS OF MN
MN
01
—
1016404
PREFERRED ONE
MN
01
—
112840
UCARE MN
MN
01
—
5206617
AETNA
MN
01
—
6603825
MEDICA UC
MN
01
—
772045
AMERICA'S PPO
MN
01
—
HP26068
HEALTHPARTNERS
MN
Enumeration date
04/05/2006
Last updated
07/08/2007
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