National Provider Identifier Database

LAWRENCE G WAYBURN, MD – NPI #1891790192
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

LAWRENCE G WAYBURN, MD
2 BIG BEAR PL
SANTA FE, NM87508
Phone: 989-928-2397
Fax: 505-471-4388
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for LAWRENCE G WAYBURN

NPI Number 1891790192
Credentials MD
Entity Individual
Enumeration date 06/15/2005
Last updated 06/10/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • NM License #: MD2007-0243
  • MI Medicaid: 4542150
  • NM Medicaid: 51282551
  • Other: 1891790192 NPI
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LAWRENCE G WAYBURN, MD

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