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1932743648
LUCAS LEROY LAWRENCE
BEND, OR
NPI
1932743648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201805406RN)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
LUCAS LEROY LAWRENCE RN
20370 POE SHOLES DR
BEND, OR 97703
Phone number: 541-318-1377
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Mailing Address
LUCAS LEROY LAWRENCE RN
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number:
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