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NPI Code Detail

MEDICARE: DR. LAWRENCE WAYNE DAVIDOW PHD, RPH

MEDICARE: DR. LAWRENCE WAYNE DAVIDOW PHD, RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11465KS

General Provider Information

NPI Number : 1730694761
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE WAYNE DAVIDOW PHD, RPH
Provider Business Mailing Address
First Line : 2010 BECKER DR
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-1620
Country : US
Telephone Number : 785-864-4527
Fax Number : 785-864-5562
Provider Business Practice Location Address
First Line : 2010 BECKER DR
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-1620
Country : US
Telephone Number : 785-864-4527
Fax Number : 785-864-5562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2017
Last Update Date : 12/13/2017

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