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NPI 1922959642

IndividualActive

Lawrence Suckstorff

NPI 1922959642 · Contractor · Medford, OR

Provider details

NPI number: 1922959642
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

2552 Thorn Oak Dr Spc 9

Medford, OR 97501-1873

Phone: (458) 226-5386

More OR providers

Mailing address

2552 Thorn Oak Dr Spc 9

Medford, OR 97501-1873

Registry dates

Enumerated: 2026-02-07
Last updated: 2026-02-07

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

Lawrence Suckstorff — NPI 1922959642, Medford, OR | NPI Central