Individual
DR. LARRY WAYNE LAWHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7200
(937) 245-7999
Mailing address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7200
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35.088805
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301058801
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712505
—
OH
Enumeration date
06/12/2006
Last updated
09/21/2022
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