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NPI Code Detail

MEDICARE: LAWRENCE JOSEPH VALDEZ M.D.

MEDICARE: LAWRENCE JOSEPH VALDEZ M.D.
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
1207P00000XEmergency Medicine Physician37125TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00332299OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14087270OTHERTNBLUECROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447207618
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE JOSEPH VALDEZ M.D.
Provider Business Mailing Address
First Line : PO BOX 633819
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-0001
Country : US
Telephone Number : 865-292-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2300 PATTERSON ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1538
Country : US
Telephone Number : 615-342-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 11/07/2007

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