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LAWRENCE VIDAVER, MD
MD
Internal Medicine Physician
NPI: 1578778585IndividualAccepts Medicare
Specialties, Licenses & Credentials
Internal Medicine PhysicianPrimary
Internal Medicine
Code: 207R00000X
025559(MD)
CMS Specialties
PrimaryINTERNAL MEDICINE
Education
OTHER
Class of 1978
Contact & Hours
- Address
- 1414 CRAIN HWY N, STE 6A
GLEN BURNIE, MD 21061 - Phone
- (410) 761-1031
Quick Facts
- NPI
- 1578778585
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 48
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