Individual
DR. LAWRENCE WILSON BURDETTE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
618 FAIRMONT AVE, FAIRMONT, WV 26554-5104
(304) 363-4006
(304) 363-4008
Mailing address
618 FAIRMONT AVE, FAIRMONT, WV 26554-5104
(304) 363-4006
(304) 363-4008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
800
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001785
—
WV
Enumeration date
01/11/2007
Last updated
03/13/2026
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