Individual
KEVIN G LAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 252, MEADOWBROOK, PA 19046-8001
(215) 938-1550
(215) 938-1342
Mailing address
595 W STATE ST, DOYLESTOWN, PA 18901-2554
(215) 933-0259
(215) 933-3672
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD-061973L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD061973L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016624120002
—
PA
Enumeration date
08/15/2005
Last updated
12/21/2016
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