Individual
DR. LAWRENCE EDWARD WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES, WAUKESHA, WI 53189-7624
(262) 928-7555
(262) 928-7575
Mailing address
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES, WAUKESHA, WI 53189-7624
(262) 928-7555
(262) 928-7575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56264
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
11795
MS
Other
Enumeration date
03/23/2006
Last updated
02/07/2014
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