Individual
LAWRENCE LEONARD WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 SW 1ST ST STE 104, ENTERPRISE, OR 97828-1285
(541) 426-6070
(541) 426-6079
Mailing address
107 SW 1ST ST STE 104, ENTERPRISE, OR 97828-1285
(541) 426-6070
(541) 426-6079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15448
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048975
—
OR
Enumeration date
06/14/2006
Last updated
10/31/2007
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