Lawrence J Dirksen, MD - Radiology in Powell, WY

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Lawrence J Dirksen, MD is a Radiology - Diagnostic Radiology physician based in Powell, Wyoming. Lawrence J Dirksen is licensed to practice in Wyoming (license number 5566A) and his current practice location is 777 Avenue H, Powell, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 754-2267.

NPI number for Lawrence J Dirksen is 1376532952 and his current mailing address is 449 Mountain View St, Powell, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376532952.

Contact Information

Lawrence J Dirksen, MD
777 Avenue H,
Powell, WY 82435-2260
(307) 754-2267
Not Available

Map and Direction




Physician's Profile

Full NameLawrence J Dirksen
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location777 Avenue H, Powell, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376532952
  • Provider Enumeration Date: 10/17/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Lawrence J Dirksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376532952NPI-NPPES
306684OtherWYBLUE CROSS BLUE SHIELD
0012064MedicaidMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5566A (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lawrence J Dirksen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lawrence J Dirksen, MD
449 Mountain View St,
Powell, WY 82435-2232

Ph: (307) 754-4559		Lawrence J Dirksen, MD
777 Avenue H,
Powell, WY 82435-2260

Ph: (307) 754-2267

Reviews and Comments


Radiology Doctors in Powell, WY


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