Lawrence John Iwersen
Orthopaedic Surgeon
111 Sunnyview Ln
Kalispell
, Montana 59901-3164
Lawrence John Iwersen
Orthopaedic Surgeon
111 Sunnyview Ln
Kalispell
, Montana 59901-3164
(406) 257-0253
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Lawrence John Iwersen
- 111 Sunnyview Ln
- Kalispell, MT
- Zip : 59901-3164
- Fax : (406) 257-0253
- Phone : (406) 752-7900
Second Address
- Lawrence John Iwersen
- 111 Sunnyview Ln
- Kalispell, MT
- Zip : 59901-3164
- Fax : (406) 257-0253
- Phone : (406) 752-7900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 6325 | MT |
National Provider Identifier
| NPI | 1013028950 |
|---|---|
| Provider Name | Lawrence John Iwersen |
| First Address | Kalispell, MT 59901-3164 |
| Second Address | Kalispell, MT 59901-3164 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 26/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000096010 | BLUE CROSS (01) | MT |
| 0077285 | (05) | MT |
| E33802 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.