Weidell, Lawrence D

Weidell, Lawrence D is an individual health care provider with primary practice located at 2924 Siskiyou Blvd Ste 200 , Medford OR 97504-6462. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Weidell, Lawrence D can be contacted via phone (541) 200-2777.

Contact Information

Primary practice address
2924 Siskiyou Blvd Ste 200 Medford OR 97504-6462
Phone: (541) 200-2777
Fax: (541) 214-2575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10072 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA217838 Oregon

Profile Details

NPI number 1770540122
LBN Legal business name Weidell, Lawrence D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Aug 29th, 2023 - 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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