LAWRENCE G WAYBURN

SANTA FE, NM
NPI1891790192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: NM  MD2007-0243)
Enumeration Date2005-06-15
Last Update Date2016-06-10
Business Address
LAWRENCE G WAYBURN M.D.
2 BIG BEAR PL
SANTA FE, NM 87508
Phone number: 989-928-2397
Mailing Address
LAWRENCE G WAYBURN M.D.
2 BIG BEAR PL
SANTA FE, NM 87508
Phone number: 989-928-2397