Lawrence Vidaver MD
Lawrence Vidaver MD is an Internal Medicine Physician in Glen Burnie, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
Practice location Address checks out
1411 Madison Park DrGlen Burnie, MD 21061-5613
Phone: (410) 761-1037
Fax: (410) 298-8225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 025559 (MD) |
|---|
Record details
| NPI number | 1336354356 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Louise Macy — Billing Mgr · (410) 298-8223 |
| NPI enumerated | May 12, 2007 |
| Last updated in NPPES | November 20, 2007 |
| Mailing address | 2506 Larryvale Rd, Baltimore, MD 21209-3206 |
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