DR. Lawrence Robert Vidrine, MD

NPI #1679559603 in Lakewood, Washington

Provider Information

NPI Number: 1679559603
Entity Type: Individual
Name: DR. Lawrence Robert Vidrine, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Urology
Credential: MD
Enumeration Date: Dec 21, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 11367 BRIDGEPORT WAY SW
Address 2: SUITE 217
City: Lakewood
State: Washington
ZIP Code: 98499-3004
Phone: (253) 985-6134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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