Dr. Lawrence Matthew Minardi - Charleston, WV

Dr. Lawrence Matthew Minardi

Specialist in Charleston, West Virginia

NPI 1174508774

Lawrence Matthew Minardi is a Specialist based in Charleston, WV. Lawrence Matthew Minardi practices in Charleston, WV. The NPI Number for Lawrence Matthew Minardi is 1174508774 and holds a License No. 11596 (West Virginia).

The current practice location address for Lawrence Matthew Minardi is 500 Donnally St, Charleston, WV and can be reached out via phone at 304-343-6219 and via fax at 304-343-1423.

Location: 500 Donnally St, Charleston, WV, 25301-1600

NPI Number

1174508774

Provider Name

Lawrence Matthew Minardi

Credential

Provider Entity Type

Individual

Gender

Male

Address

500 Donnally St, Charleston, WV, 25301-1600

Phone Number

304-343-6219

Fax Number

304-343-1423

Provider Enumeration Date

12/07/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
0096789000	05	WV
MI9220052	01	WV	MEDICARE GROUP NUMBER

Address

500 Donnally St

City

Charleston

State

West Virginia

Zip

25301-1648

Phone Number

304-343-6219

Fax Number

304-343-1423

Address

500 Donnally St

City

Charleston

State

West Virginia

Zip

25301-1648

Phone Number

304-343-6219

Fax Number

304-343-1423

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

11596 (West Virginia)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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