Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | DN 6930 | FL |
NPI | 1851323976 |
---|---|
Provider Name | Dr. Lawrence B Musser |
First Address | Lakeland, FL 33803-5917 |
Second Address | Lakeland, FL 33803-5917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 10/06/2008 |