| NPI Details | |
|---|---|
| NPI | 1104909993 |
| Gender | Male |
| Enumeration Date | 10/23/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| COMMUNITY HEALTH CENTER 400 TEAGARDEN LA PORTE IN, 46350-3175, US |
|
| Phone | (219) 326-2403 |
| Fax | (219) 326-2385 |
| Business Location | |
|---|---|
| 1007 LINCOLNWAY POST OFFICE BOX 1539 LA PORTE IN, 46350-3201, US |
|
| Phone | (219) 326-2403 |
| Fax | (219) 326-2385 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223D0001X |
| License State | Indiana |
| License Number | 12006116A |
| Remove 1104909993 NPI Number | |
According to our database, Ross L Lawrence DDS NPI is 1104909993, taxonomy code is 1223D0001X and license number is 12006116A, license state is located at Indiana. Ross L Lawrence DDS physically located at Community Health Center, La Porte IN, 46350-3175. NPI Number Ross L Lawrence DDS has the Individual type.
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1104909993 NPI number is provided on an as is basis without warranty of any kind. 1104909993 is maintained by the National Plan & Provider Enumeration System. The contents of Ross L Lawrence DDS are for informational purposes only.
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