Doctor Name: | LAWRENCE PAUL LANDWEHR |
NPI Number: | 1265599591 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD111733 |
Business Practice Address: | 407 A. East Russell Avenue Suite 3 Warrensburg, MO - 64093 |
Business Phone Number: | 6604227000 |
Business Fax Number: | 6607470409 |
Mailing Address: | 407 A East Russell Avenue, Suite 3 WARRENSBURG |
State: | MO |
Postal Code: | 640932958 |
Phone Number: | 6604227000 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | MD111733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |