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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAWRENCE VIDAVER MD

Active Organization

LAWRENCE VIDAVER MD is a Internal Medicine organization located in GLEN BURNIE, Maryland. NPI 1336354356 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · GLEN BURNIE, MD

Registration Details

NPI Number
1336354356
Provider Type
Organization
NPI Issued
May 12, 2007 (19.266994124122 yrs)
Last Updated
Nov 20, 2007
License
025559 (MD)

Practice Information

Address
1411 MADISON PARK DR
GLEN BURNIE, MD, 210615613
Browse MD providers · Browse ZIP 21061
Phone
4107611037
Fax
4102988225
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in GLEN BURNIE, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.