Provider Demographics
NPI:1891792800
Name:FRANSON, LAWRANCE A (DMD)
Entity Type:Individual
Prefix:
First Name:LAWRANCE
Middle Name:A
Last Name:FRANSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 WASHBURN WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-4518
Mailing Address - Country:US
Mailing Address - Phone:541-882-0654
Mailing Address - Fax:541-273-2973
Practice Address - Street 1:2700 WASHBURN WAY
Practice Address - Street 2:SUITE B
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-4518
Practice Address - Country:US
Practice Address - Phone:541-882-0654
Practice Address - Fax:541-273-2973
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR46211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice