MEDICARE: DR. LAWRENCE H. BUNDRICK MD

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
1	208200000X	Plastic Surgery Physician	16674	AL

General Provider Information

NPI Number	:	1013928316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE H. BUNDRICK MD

Provider Business Mailing Address
First Line	:	333 WHITESPORT DR SW STE 201
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3455
Country	:	US
Telephone Number	:	256-881-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 WHITESPORT DR SW STE 201
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3455
Country	:	US
Telephone Number	:	256-881-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1457341463 — DR. RUPEN JOSHI M.D.
Practice Location Address:

333 WHITESPORT DR SW STE 305
HUNTSVILLE, AL
35801-3455

Practice Phone: 256-880-1222
Practice Fax: 256-880-2666

1215917141 — CAROL TIEVA WATTS M.D.
Practice Location Address:

333 WHITESPORT DR SW STE 200
HUNTSVILLE, AL
35801-3455

Practice Phone: 256-880-0450
Practice Fax:

1427005560 — MR. DOST MOHAMMAD KHATTAK MD
Practice Location Address:

333 WHITESPORT DR , STE 304
HUNTSVILLE, AL
35801-3455

Practice Phone: 256-880-0800
Practice Fax: 256-882-3556

1366489528 — HENRY R LEMLEY MD
Practice Location Address:

333 WHITESPORT DR SW STE 300
HUNTSVILLE, AL
35801-3455

Practice Phone: 256-535-5945
Practice Fax: 833-941-4934

1932141348 — QI WAN MD PC
Practice Location Address:

333 WHITESPORT DR SW , STE 303
HUNTSVILLE, AL
35801-3455

Practice Phone: 256-650-0275
Practice Fax: 256-881-0468

1215033154 — HEATHER ANN ESTOPINAL M.D.
Practice Location Address:

333 WHITESPORT DR SW STE 101
HUNTSVILLE, AL
35801-3455

Practice Phone: 256-880-0667
Practice Fax:

Directions to “ DR. LAWRENCE H. BUNDRICK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.