Iwersen, Lawrence John

Iwersen, Lawrence John is an individual health care provider with primary practice located at 111 Sunnyview Ln , Kalispell MT 59901-3164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Iwersen, Lawrence John can be contacted via phone (406) 752-7900.

Contact Information

Primary practice address
111 Sunnyview Ln Kalispell MT 59901-3164
Fax: (406) 257-0253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6325 Montana

Profile Details

NPI number 1013028950
LBN Legal business name Iwersen, Lawrence John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013028950 NPPES
Montana MEDICAID 0077285
Montana Other 000096010

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