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NPI Code Detail

MEDICARE: DR. ZACHARY LAWRENCE MD

MEDICARE: DR. ZACHARY LAWRENCE MD
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
1208600000XSurgery Physician0606SD

General Provider Information

NPI Number : 1205491628
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY LAWRENCE MD
Provider Business Mailing Address
First Line : 1600 W 22ND ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-1521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 W 22ND ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-1521
Country : US
Telephone Number : 605-312-4209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2019
Last Update Date : 01/06/2026

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Directions to “ DR. ZACHARY LAWRENCE MD” Practice Location

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