Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lawrence E Udom, MD, MPH, FAAFP

Individual provider Family Medicine Physician · NPI 1659572527

Dr. Lawrence E Udom, MD, MPH, FAAFP is a Family Practice in Dayton, Ohio. Qualified in 2005, 21 years ago. Practices with Alliance Physicians Inc, a 314-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
21
Licensed in
OH
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.
FAAFP — Fellow of the American Academy of Family Physicians
A family physician admitted as a fellow of the AAFP.

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Practice location Address checks out

3969 Salem Ave
Dayton, OH 45406-1529
Phone: (937) 281-7040
Fax: (937) 522-7818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11260 Chester Rd Fl 7, Cincinnati, OH 45246-4048 — (518) 424-8383

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35095926 (OH)

Record details

NPI number1659572527
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH , FAAFP
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESMay 3, 2026
Certification dateMay 3, 2026
Mailing address3969 Salem Ave, Dayton, OH 45406-1529

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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