Lawrence Wesley Waite, D.O.
Family Medicine in Onalaska, WI. Individual provider (NPI-1).
NPI number1083663967
StatusActive
Last updated in NPPESMay 18, 2010
Details
- NPI
- 1083663967
- Entity type
- Individual (NPI-1)
- Name
- Lawrence Wesley Waite
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2006
- Last updated
- May 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 40617 | MN | Yes |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 40617 | MN | |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 03005 | IA | |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 036-063775 | IL | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | 37512-04 | WI | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 036-063775 | IL | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 03005 | IA | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 40617 | MN | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 37512-021 | WI | |
| 207Q00000X | Family Medicine | 37512-021 | WI | |
| 207Q00000X | Family Medicine | 03005 | IA | |
| 207Q00000X | Family Medicine | 036-063775 | IL |
Practice location
2110 Evenson DrOnalaska, WI 54650-8772
Phone 608-397-6678 · Fax 608-781-5576
Mailing address
2110 Evenson DrOnalaska, WI 54650-8772
Phone 608-397-6678 · Fax 608-781-5576
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All 47 Family Medicine Physician providers in Onalaska · All 701 providers in Onalaska
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