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Elliot Lawrence — NPI 1629424627, Fargo, ND | NPI Central

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NPI 1629424627

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Elliot Lawrence

NPI 1629424627 · Radiation Oncology Physician · Fargo, ND

Provider details

NPI number: 1629424627
Entity type: Individual
Primary specialty: Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: No
License: 15886 (ND)

Specialties & taxonomies

Radiation Oncology PhysicianPrimary2085R0001XLicense 15886 (ND)
Allopathic & Osteopathic Physicians
Hospitalist Physician208M00000XLicense 15886 (ND)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

820 4th St N

Fargo, ND 58102-4539

Phone: (701) 234-6161

Approximate (ZIP-level) locationGet directions

More ND providers

Mailing address

Po Box 5074

Sioux Falls, SD 57117-5074

Additional practice locations (1)

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
Fax: (701) 417-2535

Registry dates

Enumerated: 2016-05-09
Last updated: 2024-06-28
Certified: 2024-06-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.