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1407807001
LAWRENCE KOHAUS
BLOOMINGTON, IL
NPI
1407807001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036058060)
Enumeration Date
2006-05-16
Last Update Date
2007-07-12
Business Address
-- LAWRENCE KOHAUS m.d.
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701-4364
Phone number: 309-663-2237
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Mailing Address
-- LAWRENCE KOHAUS m.d.
PO BOX 9518
PEORIA, IL 61612-9518
Phone number:
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