Individual
LAWRENCE WAYNE MEADORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2300 W EVEREST LN, SUITE 125, MERIDIAN, ID 83646-5925
(208) 938-6343
(208) 884-5048
Mailing address
2300 W EVEREST LN, SUITE 125, MERIDIAN, ID 83646-5925
(208) 938-6343
(208) 884-5048
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D3120PD
ID
Other
Enumeration date
04/13/2006
Last updated
02/04/2008
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