Dr. Lawrence W. Astle, M.D.
Family Medicine, Addiction Medicine in Provo, UT. Individual provider (NPI-1).
NPI number1285829309
StatusActive
Last updated in NPPESSep 11, 2007
Details
- NPI
- 1285829309
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lawrence W. Astle
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2007
- Last updated
- Sep 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | 150-373-1205 | UT | Yes |
Practice location
151 S University AveSuite 1400
Provo, UT 84601-4427
Phone 801-851-7113 · Fax 801-851-7186
Mailing address
151 S University AveSuite 1400
Provo, UT 84601-4427
Phone 801-851-7113 · Fax 801-851-7186
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