Individual
KAYLAN LAWSON WEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2440 NW EDENBOWER BLVD, ROSEBURG, OR 97471-8847
(541) 957-1141
Mailing address
2440 NW EDENBOWER BLVD, ROSEBURG, OR 97471-8847
(541) 957-1141
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PG163762
OR
Other
Enumeration date
06/10/2010
Last updated
04/22/2014
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