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1386692333
LAWRENCE E GREEN
NAMPA, ID
NPI
1386692333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: ID M-3814)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- LAWRENCE E GREEN M.D.
16060 IDAHO CENTER BLVD
NAMPA, ID 83687
Phone number: 208-467-3368
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Mailing Address
-- LAWRENCE E GREEN M.D.
16060 IDAHO CENTER BLVD
NAMPA, ID 83687
Phone number: 208-467-3368
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