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1477598258
LAWRENCE J SLADICH
FRUITLAND, ID
NPI
1477598258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M5535)
Enumeration Date
2006-06-17
Last Update Date
2016-11-09
Business Address
-- LAWRENCE J SLADICH MD
910 NW 16TH
FRUITLAND, ID 83619
Phone number: 208-452-8040
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Mailing Address
-- LAWRENCE J SLADICH MD
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-452-8040
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