Individual
DR. LAWRENCE VIDAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 CRAIN HWY N, STE 6A, GLEN BURNIE, MD 21061-7001
(410) 761-1031
(410) 761-1031
Mailing address
1414 CRAIN HWY N, STE 6A, GLEN BURNIE, MD 21061-7001
(410) 848-8202
(410) 848-2644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025559
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400999100
—
MD
Enumeration date
05/12/2007
Last updated
05/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us