Lawrence Edward Buckman III, C PED.

NPI #1093938359 in Rockford, Illinois

Provider Information

NPI Number
1093938359
Entity Type
Individual
Name
Lawrence Edward Buckman III, C PED.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Credential
C PED.
Enumeration Date
Apr 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5823 E RIVERSIDE BLVD
ZIP Code
61114-4963
Phone
(815) 654-1900

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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