person
Dr. Lawrence Lewis Reynolds, MD
General Practice Physician in Seldovia, Alaska
NPI 1417020348

Lawrence Lewis Reynolds is a General Practice Physician based in Seldovia, AK. Lawrence Lewis Reynolds practices in Seldovia, AK and has the professional credentials of MD. The NPI Number for Lawrence Lewis Reynolds is 1417020348 and holds a License No. 1164 (Alaska).

The current practice location address for Lawrence Lewis Reynolds is 252 Seldovia St, Seldovia, AK and can be reached out via phone at 907-234-7825 and via fax at 907-234-7825. You can also correspond with Lawrence Lewis Reynolds through the mailing address at DRAWER J, SELDOVIA, AK - 99663-0210 (mailing address contact number: 907-234-7825).

Location: 252 Seldovia St, Seldovia, AK, 99663-0210
person
Provider Profile Details
NPI Number
1417020348
Provider Name
Lawrence Lewis Reynolds
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
252 Seldovia St, Seldovia, AK, 99663-0210
Phone Number
907-234-7825
Fax Number
907-234-7825
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD1164 05 AK
0200641039 01 CLIA
institution
Provider Business Practice Location Address Details
Address
252 Seldovia St
City
State
Zip
99663-0210
Phone Number
907-234-7825
Fax Number
907-234-7825
person
Provider Business Mailing Address Details
Address
252 Seldovia St
City
State
Zip
99663-0210
Phone Number
907-234-7825
Fax Number
907-234-7825
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
1164 (Alaska)
Definition
Definition to come...
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