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1467568089
LAWRENCE G BURCH
ALTON, IL
NPI
1467568089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036054127)
Enumeration Date
2006-08-23
Last Update Date
2007-12-11
Business Address
Dr. LAWRENCE G BURCH M.D.
2 SAINT ANTHONYS WAY SUITE 205
ALTON, IL 62002-4569
Phone number: 618-465-8019
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Mailing Address
Dr. LAWRENCE G BURCH M.D.
PO BOX 9040
ALTON, IL 62002-9040
Phone number: 618-462-0499
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