LAWRENCE VIDAVER

GLEN BURNIE, MD
NPI1578778585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MD  025559)
Enumeration Date2007-05-12
Last Update Date2024-05-17
Business Address
Dr. LAWRENCE VIDAVER MD
1414 CRAIN HWY N STE 6A
GLEN BURNIE, MD 21061-7001
Phone number: 410-761-1031
Mailing Address
Dr. LAWRENCE VIDAVER MD
1414 CRAIN HWY N STE 6A
GLEN BURNIE, MD 21061-7001
Phone number: 410-848-8202
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