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1922055532
BROCK R LASURE
BELLEVUE, NE
NPI
1922055532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 22937)
Enumeration Date
2006-05-28
Last Update Date
2012-03-13
Business Address
-- BROCK R LASURE M.D.
1103 GALVIN RD S STE G
BELLEVUE, NE 68005-3000
Phone number: 402-292-1072
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Mailing Address
-- BROCK R LASURE M.D.
1103 GALVIN RD S STE G
BELLEVUE, NE 68005-3000
Phone number: 402-292-1072
Copy
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