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NPI Code Detail

MEDICARE: LAWRENCE T DONOVAN DO

MEDICARE: LAWRENCE T DONOVAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery Physician35023MN

General Provider Information

NPI Number : 1366558033
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE T DONOVAN DO
Provider Business Mailing Address
First Line : 710 COMMERCE DR STE 200
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4925
Country : US
Telephone Number : 651-968-5042
Fax Number : 651-968-5904
Provider Business Practice Location Address
First Line : 280 SMITH AVE N STE 500
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-2463
Country : US
Telephone Number : 651-968-5420
Fax Number : 651-222-0956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 06/25/2015

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Directions to “ LAWRENCE T DONOVAN DO” Practice Location

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