Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 0101051122 | VA |
NPI | 1033138698 |
---|---|
Provider Name | Dr. Lawrence Daniel Morton |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-0599 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6101453 | (05) | VA |
F82327 | (02) |