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Lawrence Wesley Waite

Family Doctor Sports Medicine Doctor Neuromusculoskeletal Medicine (NMM) Emergency Medical Services and 8 more

2110 Evenson Dr
Onalaska , Wisconsin 54650-8772

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine Doctor
  • Neuromusculoskeletal Medicine (NMM)
  • Emergency Medical Services
  • Family Doctor

Languages spoken

  • English

Location

2110 Evenson Dr Onalaska , Wisconsin 54650-8772

First Address

  • Lawrence Wesley Waite
  • 2110 Evenson Dr
  • Onalaska, WI
  • Zip : 54650-8772
  • Fax : (608) 781-5576
  • Phone : (608) 397-6678

Second Address

  • Lawrence Wesley Waite
  • 2110 Evenson Dr
  • Onalaska, WI
  • Zip : 54650-8772
  • Fax : (608) 781-5576
  • Phone : (608) 397-6678

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FAQs


Where did Lawrence Wesley Waite attend graduate school?

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Where did Lawrence Wesley Waite do his residency?

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Where did Lawrence Wesley Waite do his fellowship?

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Is Lawrence Wesley Waite board certified?

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What type of doctor is Lawrence Wesley Waite

Family Doctor

In what state does Lawrence Wesley Waite practice in?

Wisconsin

Where is Lawrence Wesley Waite ’s practice located?

2110 Evenson Dr , Onalaska, Wisconsin, 54650-8772

What is Lawrence Wesley Waite ’s gender?

Male

Is Lawrence Wesley Waite a sole practitioner?

No

Is Lawrence Wesley Waite accepting new patients?

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What languages does Lawrence Wesley Waite speak?

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Does Lawrence Wesley Waite accept insurance?

Yes, Lawrence Wesley Waite accepts insurance

Does Lawrence Wesley Waite offers telemedicine?

Lawrence Wesley Waite has not indicated if he offers telemedicine

What is Lawrence Wesley Waite ’s professional license number?

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What is Lawrence Wesley Waite ’s NPI number?

1083663967

Does Lawrence Wesley Waite have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 204C00000X Sports Medicine Doctor 03005 IA
N 204C00000X Sports Medicine Doctor 036-063775 IL
N 204C00000X Sports Medicine Doctor 40617 MN
N 204D00000X Neuromusculoskeletal Medicine (NMM) 37512-04 WI
N 207PE0004X Emergency Medical Services 03005 IA
N 207PE0004X Emergency Medical Services 036-063775 IL
N 207PE0004X Emergency Medical Services 37512-021 WI
N 207PE0004X Emergency Medical Services 40617 MN
N 207Q00000X Family Doctor 03005 IA
N 207Q00000X Family Doctor 036-063775 IL
N 207Q00000X Family Doctor 37512-021 WI
Y 207Q00000X Family Doctor 40617 MN

National Provider Identifier

NPI 1083663967
Provider Name Lawrence Wesley Waite
First Address Onalaska, WI 54650-8772
Second Address Onalaska, WI 54650-8772
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 09/05/2006
Last Update Date 18/05/2010

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
E-37161 (02) WI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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