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Individual

DR. LAWRENCE H. BUNDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 WHITESPORT DR SW STE 201, HUNTSVILLE, AL 35801-3455
(256) 881-8800
Mailing address
333 WHITESPORT DR SW STE 201, HUNTSVILLE, AL 35801-3455
(256) 881-8800

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
16674
AL

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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