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General NPI Number Information
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NPI Number | 1619087491
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Entity Type | Organization
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Legal Business Name | DR PETER LAWRASON PC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 1919 LATHROP ST SUITE 101
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City | FAIRBANKS
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State | AK
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Zip | 99701-5930
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Country | US
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Telephone | 907-452-1622
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Fax | 907-452-1664
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Provider Business Mailing Address
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Address Line | 1919 LATHROP ST SUITE 101
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City | FAIRBANKS
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State | AK
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Zip | 99701-5930
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Country | US
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Telephone | 907-452-1622
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Fax | 907-452-1664
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Authorized Official
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Title or Position | OWNER
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Name | PETER D LAWRASON
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Credential | MD
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Telephone | 907-452-1622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | AA2385
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License Number State | AK
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