Lawrence Konick, MD | |
665 Winter Street, Salem, OR 97301-3934 | |
(503) 561-5564 | |
(503) 561-4781 |
Full Name | Lawrence Konick |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 665 Winter Street, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538220116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | MD-17760 (Oregon) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD17760 (Oregon) | Primary |
Entity Name | Pacific Pathology Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205997889 PECOS PAC ID: 1951399484 Enrollment ID: O20040504000657 |
Mailing Address | Practice Location Address |
---|---|
Lawrence Konick, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Lawrence Konick, MD 665 Winter Street, Salem, OR 97301-3934 Ph: (503) 561-5564 |
Alicia B Kavka, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 665 Winter Street Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 | |
Pamela P Smith, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 | |
Dr. Kaia Marie Adams, MD Pathology Medicare: Medicare Enrolled Practice Location: 665 Winter St Se Bldg B2nd, Salem, OR 97301 Phone: 503-561-5114 | |
Penny L Vanderveer, MD Pathology Medicare: Medicare Enrolled Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 | |
Debbie C Wu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 | |
Melissa Lou Beal, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 |