Individual
THOMAS LORENZO WALDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 PINE RUN DR, LUMBERTON, NC 28358-2180
(910) 671-5730
(910) 671-5732
Mailing address
PO BOX 41208, FAYETTEVILLE, NC 28309-1208
(910) 609-6691
(910) 609-5398
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
9800410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891195L
—
NC
Enumeration date
04/12/2006
Last updated
01/10/2008
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