LAWRENCE EDWARD BUCKMAN

ROCKFORD, IL
NPI1093938359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: IL  212.000137)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- LAWRENCE EDWARD BUCKMAN C Ped.
5823 E RIVERSIDE BLVD
ROCKFORD, IL 61114-4963
Phone number: 815-654-1900
Mailing Address
-- LAWRENCE EDWARD BUCKMAN C Ped.
5823 E RIVERSIDE BLVD
ROCKFORD, IL 61114-4963
Phone number: 815-654-1900
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