Lawrence Robert Vidrine in Lakewood - Urology

Lawrence Robert Vidrine - NPI 1679559603

Lawrence Robert Vidrine is a Urology in Lakewood, Washington. Lawrence Robert Vidrine practices all healthcare services and medical treatments related to Urology. The NPI Number for Lawrence Robert Vidrine is 1679559603. The last update date is 2007-07-08.

Lawrence Robert Vidrine's current location address is 11367 Bridgeport Way Sw, Lakewood, Washington. You can contact this provider via phone number 2539856134 and fax number 2539856137. The mailing address for Lawrence Robert Vidrine is 11367 Bridgeport Way Sw, Lakewood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence Robert Vidrine
Address 11367 Bridgeport Way Sw, Lakewood, Washington
Phone Number 2539856134
Fax Number 2539856137
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1679559603
Provider Enumeration Date 2005-12-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11367 Bridgeport Way Sw
City Lakewood
State Washington (WA)
Post Code 984993004
Phone Number 2539856134
Fax Number 2539856137

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No MD00022122
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

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FAQs about Lawrence Robert Vidrine

What is the unique identification code assigned to Lawrence Robert Vidrine by the Centers for Medicare & Medicaid Services?

The Lawrence Robert Vidrine has been issued the NPI (National Provider Identifier) 1679559603. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lawrence Robert Vidrine is located?

The Lawrence Robert Vidrine is situated at the following address: 11367 Bridgeport Way Sw, Lakewood, WA, 984993004.

What is the Lawrence Robert Vidrine's specialty and taxonomy code?

The Lawrence Robert Vidrine's specialty is Urology, and the corresponding taxonomy code is 208800000X.

On what date did the Lawrence Robert Vidrine receive its 1679559603 assignment from the Centers for Medicare & Medicaid Services?

The Lawrence Robert Vidrine was assigned its 1679559603 by the Centers for Medicare & Medicaid Services on 2005-12-21.

When was the information pertaining to Lawrence Robert Vidrine most recently updated or revised?

The details related to Lawrence Robert Vidrine, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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