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1568449007
LARRY RIVERA LAZARO
IRON MOUNTAIN, MI
NPI
1568449007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301069069)
Enumeration Date
2005-12-27
Last Update Date
2013-05-30
Business Address
DR. LARRY RIVERA LAZARO M.D.
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801-3637
Phone number: 810-692-4030
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Mailing Address
DR. LARRY RIVERA LAZARO M.D.
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801-3637
Phone number: 810-692-4030
Copy
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