Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 35074640 | OH |
NPI | 1043206196 |
---|---|
Provider Name | Dr. Lawrence W Elmer |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43606-3819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2005 |
Last Update Date | 22/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2079905 | (05) | OH |
F28224 | (02) |