LAWRENCE J DIRKSEN

POWELL, WY
NPI1376532952
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: WY  5566A)
Enumeration Date2005-10-17
Last Update Date2007-07-08
Business Address
LAWRENCE J DIRKSEN M.D.
777 AVENUE H
POWELL, WY 82435-2260
Phone number: 307-754-2267
Mailing Address
LAWRENCE J DIRKSEN M.D.
449 MOUNTAIN VIEW ST
POWELL, WY 82435-2232
Phone number: 307-754-4559
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