Individual
DR. BRIAN DOUGLAS LAWENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8026 S TAMIAMI TRAIL, VENICE, FL 34293
(941) 220-6460
(941) 220-5284
Mailing address
3080 HARBOR BLVD, PORT CHARLOTTE, FL 33952-6720
(941) 883-2199
(941) 979-5041
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
13433
NV
2085R0001X
Radiation Oncology Physician
A87177
CA
2085R0001X
Radiation Oncology Physician
MD60622589
WA
2085R0001X
Radiation Oncology Physician
Primary
ME167833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01371595
AMERIGROUP
NV
05
—
1104896794
—
NV
05
—
1104896794
—
WA
05
—
122055900
—
FL
01
—
1457283
GHI
NV
01
—
4738395
CIGNA
WA
05
—
500708662
—
OR
05
—
518641
—
AZ
01
—
7839863
AETNA
NV
01
—
7839863
AETNA
WA
01
—
P00894440
RAILROAD MEDICARE
—
01
—
P01650856
RR MEDICARE
WA
Enumeration date
01/25/2006
Last updated
05/23/2024
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