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LAWRENCE GREEN RN

Gastroenterology >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1104231570

Individual Registrant:
 LAWRENCE  GREEN RN
Gender: M
Sole Proprietor

Location and contact information for practice:
6509 NW 105TH AVE  ALACHUA, FL 32615-7448 US
Tel: 909-659-8184  Fax: --

Contact information for business:
6509 NW 105TH AVE  ALACHUA, FL 32615-7448 US
Tel: 909-659-8184  Fax: --

Registration Information:
NPI: 1104231570
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WG0100XNursing Service Providers
Registered Nurse
Gastroenterology
FL9344187

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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