Individual
DR. LAWRENCE EDWARD WIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H3773
TX
207RC0000X
Cardiovascular Disease Physician
Primary
H3773
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
H3773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125830304
—
TX
01
—
8H8120
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/09/2007
Last updated
02/09/2016
Update your record
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