Individual
DR. LAWRENCE W. ASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 1400, PROVO, UT 84601-4427
(801) 851-7113
(801) 851-7186
Mailing address
151 S UNIVERSITY AVE, SUITE 1400, PROVO, UT 84601-4427
(801) 851-7113
(801) 851-7186
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
150-373-1205
UT
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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