| Doctor Name: | LAWRENCE ERNEST BUCKWALTER |
| NPI Number: | 1093117129 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 091444-1 |
| Business Practice Address: | 27 Buchman Dr Loudonville, NY - 122112303 |
| Business Phone Number: | 5184491410 |
| Business Fax Number: | |
| Mailing Address: | 27 Buchman Dr, LOUDONVILLE |
| State: | NY |
| Postal Code: | 122112303 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2014 |
| NPI Last Update Date: | 09/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 091444-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |