| Lawrence E Weaver, Dds | |
|
1957 Raymond Diehl Rd Tallahassee FL 32308-3841 | |
| (850) 385-2003 | |
| Not Available |
| Full Name | Lawrence E Weaver, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1957 Raymond Diehl Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Lawrence E Weaver (OWNER/DENTIST) |
| Authorized Official Contact | 8503852003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence E Weaver, Dds 1957 Raymond Diehl Rd Tallahassee FL 32308-3841 Ph: () - | Lawrence E Weaver, Dds 1957 Raymond Diehl Rd Tallahassee FL 32308-3841 Ph: (850) 385-2003 |
| NPI Number | 1891087672 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891087672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN13009 (Florida) | Primary |
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