Lawenda, Brian Douglas

Lawenda, Brian Douglas is an individual health care provider with primary practice located at 8026 S Tamiami Trail , Venice FL 34293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Lawenda, Brian Douglas can be contacted via phone (941) 220-6460.

Contact Information

Primary practice address
8026 S Tamiami Trail Venice FL 34293
Phone: (941) 220-6460
Fax: (941) 220-5284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A87177 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 13433 Nevada
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD60622589 Washington
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME167833 Florida

Profile Details

NPI number 1104896794
LBN Legal business name Lawenda, Brian Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated May 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104896794 NPPES
Washington Other 4738395 CIGNA
Washington MEDICAID 1104896794 CIGNA
Washington Other 1457283 CIGNA
Washington Other 01371595 CIGNA
Washington MEDICAID 122055900 CIGNA
Washington Other 7839863 CIGNA
Washington Other P01650856 CIGNA
Washington Other 7839863 CIGNA
Washington Other P00894440 CIGNA
Washington MEDICAID 1104896794 CIGNA
Washington MEDICAID 500708662 CIGNA
Washington MEDICAID 518641 CIGNA

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