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Individual

LAWRENCE M. SHALL

Active
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Individual

LAWRENCE M. SHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101040335
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006496997
VA
01
200030046
RAILROAD MEDICARE
01
C00101
MEDICARE LEGACY GROUP
01
CC7688
RAILROAD MEDICARE GROUP#
Enumeration date
01/03/2006
Last updated
09/12/2025
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