Individual
MR. LAWRENCE CHRISTOPHER CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1698 E MCANDREWS RD STE 400, MEDFORD, OR 97504-5590
(541) 732-6000
(541) 732-6005
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-6000
(541) 732-6005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10003269
WA
363A00000X
Physician Assistant
Primary
PA172028
OR
Other
Enumeration date
06/25/2012
Last updated
06/25/2015
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