Shivertaker, Lawrence Wayne

Shivertaker, Lawrence Wayne is an sole proprietor health care provider with primary practice located at 2486 Shalimar Ln , Orange Park FL 32073-6123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Independent Medical Examiner, which is considered as his primary health care specialty. Shivertaker, Lawrence Wayne can be contacted via phone (904) 269-5274.

Contact Information

Primary practice address
2486 Shalimar Ln Orange Park FL 32073-6123
Phone: (904) 269-5274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X ME60157 Florida

Profile Details

NPI number 1194963454
LBN Legal business name Shivertaker, Lawrence Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2009
Last updated Jan 25th, 2009 - about 16 years ago

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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