Individual
DR. LAWRENCE GALE GARDNER
Active
Individual
DR. LAWRENCE GALE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
007896
LA
207YX0901X
Otology & Neurotology Physician
3843
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1621072
—
LA
01
—
4J587F600
MEDICARE - PTAN
LA
Enumeration date
12/01/2005
Last updated
03/13/2014
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