Laurence William Enderson III M.D.

NPI 1093752354 - Surgery - 208600000X

NPI Details
NPI 1093752354
Gender Male
Enumeration Date 06/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
840 FIRST COLONIAL RD
SUITE 102
VIRGINIA BEACH VA, 23451-6106, US
Phone (757) 422-2212
Fax (757) 422-2212
Business Location
840 FIRST COLONIAL RD
SUITE 102
VIRGINIA BEACH VA, 23451-6106, US
Phone (757) 422-2212
Fax (757) 422-2212
Toxanomy
Taxonomy Code 208600000X
License State Virginia
License Number 0101040021
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According to our database, Laurence William Enderson III M.D. NPI is 1093752354, taxonomy code is 208600000X and license number is 0101040021, license state is located at Virginia. Laurence William Enderson III M.D. physically located at 840 First Colonial Rd, Virginia Beach VA, 23451-6106. NPI Number Laurence William Enderson III M.D. has the Individual type.

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1093752354 NPI number is provided on an as is basis without warranty of any kind. 1093752354 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence William Enderson III M.D. are for informational purposes only.