DR. Lawrence Matthew Minardi
NPI #1174508774 in Charleston, West Virginia
Provider Information
- NPI Number
- 1174508774
- Entity Type
- Individual
- Name
- DR. Lawrence Matthew Minardi
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 7, 2005
- Last Updated
- Oct 27, 2016
Practice Location
- Address
- 500 DONNALLY ST
- Address 2
- BLDG B NORTH
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25301-1648
- Phone
- (304) 343-6219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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