LAWRENCE D WEIDELL

SPRINGFIELD, OR
NPI1770540122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA217838)
Enumeration Date2006-04-28
Last Update Date2025-10-03
Business Address
LAWRENCE D WEIDELL PA-C
860 BELTLINE RD
SPRINGFIELD, OR 97477-1091
Phone number: 541-344-4168
Mailing Address
LAWRENCE D WEIDELL PA-C
12469 US HIGHWAY 98 W
MIRAMAR BEACH, FL 32550-8305
Phone number: 850-654-3376
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