Dietrich R Lawrenz (NPI# 1215964481, PAC ID# 1052373479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
Nation Provider ID (NPI) | 1215964481 |
PAC ID by PECOS | 1052373479 |
Professional Enrollment ID | I20051221000077 |
Full Name | Dietrich R Lawrenz |
Organization Legal Name | ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS P.A. |
Address |
550 County Rd D W New Brighton MN 55112-3517 |
Phone Number | 6127889246 |
Gender | M |
Credential | DDS |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
Graduation Year | 1996 |
Primary Specialty | ORAL SURGERY |
Group Practice PAC ID | 9638131055 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
550 County Rd D W, New Brighton, MN 55112-3517 | 6127889246 | ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS P.A. |
Organization Legal Name | ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS P.A. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Benjaman R Brown | Oral Surgery | Oral and Maxillofacial Surgery Specialists P.a. | 550 County Rd D W, New Brighton, MN 55112-3517 |
Daniel E Sampson | Oral Surgery | Oral and Maxillofacial Surgery Specialists P.a. | 550 County Rd D W, New Brighton, MN 55112-3517 |
Paul W Peterson | Oral Surgery | Oral and Maxillofacial Surgery Specialists P.a. | 550 County Rd D W, New Brighton, MN 55112-3517 |
Street Address |
550 COUNTY RD D W |
City | NEW BRIGHTON |
State | MN |
Zip | 55112-3517 |
Name | Specialty | Organization | Address |
---|---|---|---|
Benjaman R Brown | Oral Surgery | Oral and Maxillofacial Surgery Specialists P.a. | 550 County Rd D W, New Brighton, MN 55112-3517 |
Daniel E Sampson | Oral Surgery | Oral and Maxillofacial Surgery Specialists P.a. | 550 County Rd D W, New Brighton, MN 55112-3517 |
Paul W Peterson | Oral Surgery | Oral and Maxillofacial Surgery Specialists P.a. | 550 County Rd D W, New Brighton, MN 55112-3517 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carol O Lascotte | Chiropractic | 5372 Edgewood Dr, Mounds View, MN 55112-1402 | |
Gregory B Belting | Chiropractic | 5372 Edgewood Dr, Saint Paul, MN 55112-1402 | |
Nathan T Hockert | Physician Assistant | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
Bethany Gavic | Clinical Social Worker | Nystrom and Associates, Ltd | 1900 Silver Lake Nwrd, Suite 110, New Brighton, MN 55112-1789 |
Sheeba Rahman | Psychiatry | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
Amanda C Drewek | Physician Assistant | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
Kathleen A Spiry | Clinical Social Worker | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
Lauren N Uslinov | Psychiatry | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
Sarah G Hanson | Clinical Social Worker | Family Support Services Inc | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
Sarah Gross | Clinical Social Worker | Nystrom and Associates Ltd | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1789 |
Find all physicians in zip 55112 |
City | NEW BRIGHTON |
Zip Code | 55112 |
Specialty | ORAL SURGERY |
City + Specialty | NEW BRIGHTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Dietrich R Lawrenz.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.