Individual
WILLIAM LAWRENCE SKINNER
Active
Individual
WILLIAM LAWRENCE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25788
KY
207RX0202X
Medical Oncology Physician
Primary
25788
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1681101
MEDICARE
KY
05
—
64257884
—
KY
Enumeration date
08/18/2006
Last updated
05/31/2024
Update your record
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