Individual
DR. LAWRENCE E UDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, FAAFP
Contact information
Practice address
3969 SALEM AVE, DAYTON, OH 45406-1529
(937) 281-7040
(937) 522-7818
Mailing address
3969 SALEM AVE, DAYTON, OH 45406-1529
(937) 281-7040
(937) 522-7818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35095926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051288
—
OH
Enumeration date
05/30/2007
Last updated
05/03/2026
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