Lawrence E Udom in Beavercreek - Family Medicine
Lawrence E Udom - NPI 1659572527
Lawrence E Udom is a Family Medicine in Beavercreek, Ohio. Lawrence E Udom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lawrence E Udom is 1659572527. The last update date is 2020-11-17.
Lawrence E Udom's current location address is 2510 Commons Blvd Ste 160, Beavercreek, Ohio. You can contact this provider via phone number 9374254015 and fax number 9374254014. The mailing address for Lawrence E Udom is 2510 Commons Blvd Ste 160, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence E Udom |
|---|---|
| Address | 2510 Commons Blvd Ste 160, Beavercreek, Ohio |
| Phone Number | 9374254015 |
| Fax Number | 9374254014 |
| Sole Proprietor | N |
| Credentials | MD, MPH |
NPI Number Detail
| NPI Number | 1659572527 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2020-11-17 |
Provider Mailing Address Detail
| Address | 2510 Commons Blvd Ste 160 |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454313834 |
| Phone Number | 9374254015 |
| Fax Number | 9374254014 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35095926 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51288 | OH | -- |
Post Comment/ Review Below
What is the Lawrence E Udom's unique identification number?
The Lawrence E Udom has been assigned the NPI (National Provider Identifier) Number 1659572527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Lawrence E Udom?
The Lawrence E Udom is physically situated at 2510 Commons Blvd Ste 160, in the city of Beavercreek, state of OH, with the postal code 454313834.
What is Lawrence E Udom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lawrence E Udom is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659572527 to Lawrence E Udom?
The Centers for Medicare & Medicaid Services assigned the 1659572527 to Lawrence E Udom on 2007-05-30.
When was the information pertaining to Lawrence E Udom most recently updated or revised?
The details related to Lawrence E Udom, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-17.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY