Lawrence D Weidell, PA-C

NPI #1770540122 in Springfield, Oregon

Provider Information

NPI Number
1770540122
Entity Type
Individual
Name
Lawrence D Weidell, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Apr 28, 2006
Last Updated
Oct 3, 2025

Practice Location

Address
860 BELTLINE RD
State
Oregon
ZIP Code
97477-1091
Phone
(541) 344-4168

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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