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DR. MICHAEL LAWRENCE SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 EAST MARKET ST, EXECUTIVE SUITES ROOM 25, CHARLOTTESVILLE, VA 22902-5264
(434) 220-8062
Mailing address
415 EAST MARKET STREET, EXECUTIVE SUITES ROOM 25, CHARLOTTESVILLE, VA 22902-5264
(434) 220-8062

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101054618
VA

Other

Enumeration date
11/20/2012
Last updated
11/20/2012
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