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1750670121
LAWRENCE W FOURNIER
FENTON, MO
NPI
1750670121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2006023190)
Enumeration Date
2011-04-06
Last Update Date
2021-11-05
Business Address
LAWRENCE W FOURNIER CRNA
1015 BOWLES AVE
FENTON, MO 63026-2394
Phone number: 314-775-2816
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Mailing Address
LAWRENCE W FOURNIER CRNA
13523 BARRETT PARKWAY DR STE 210
BALLWIN, MO 63021-3802
Phone number: 314-775-2816
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