Drerup, Michael Lawrence

Drerup, Michael Lawrence is an individual health care provider with primary practice located at 3704 North Blvd Suite C, Alexandria LA 71301-3606. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Drerup, Michael Lawrence can be contacted via phone (318) 443-4576.

Contact Information

Primary practice address
3704 North Blvd Suite C Alexandria LA 71301-3606
Fax: (318) 449-5579
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 017263 Louisiana

Profile Details

NPI number 1437157286
LBN Legal business name Drerup, Michael Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Dec 17th, 2009 - about 16 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 1437157286 NPPES
Louisiana MEDICAID 1387797

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