Lawrence Vidaver, MD

NPI 1578778585 · on the registry since 2007 · sole proprietor

Practice

Address: 1414 Crain Hwy N
Ste 6a
Glen Burnie, MD 21061
Phone: (410) 761-1031
Fax: (410) 761-1031
Organisation at this address: Maryland Healing Waters, Llc
American Psychiatric Care Llc
Trinity Obstetrics & Gynecology P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland