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Individual

DR. LAWRENCE HENRY SCHOONOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1 FRENCH STREET, CLENDENIN, WV 25045
(304) 548-7227
(304) 548-7228
Mailing address
PO BOX 672, CLENDENIN, WV 25045-0672
(304) 548-7227
(304) 548-7228

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2509
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0136444000
WV
01
2509
WV LICENSE NUMBER
WV
Enumeration date
11/01/2006
Last updated
07/09/2007
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