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LAWRENCE WESLEY WAITE D.O. NPI 1083663967


NPI Information

NPI: 1083663967
Provider Name: LAWRENCE WESLEY WAITE, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2110 EVENSON DR
ONALASKA, WI
ZIP 54650
Phone: (608) 397-6678
Get Directions

Lawrence Wesley Waite, D.O. is a family medicine in Onalaska, WI with 49 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Lawrence Wesley Waite, D.O. NPI is 1083663967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1975

The provider's business location address is:

2110 EVENSON DR
ONALASKA, WI
ZIP 54650-772
Phone: (608) 397-6678
Fax: (608) 781-5576

The NPI 1083663967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 5/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine40617MINNESOTANo
2204C00000XNeuromusculoskeletal Medicine, Sports Medicine03005IOWANo
3204C00000XNeuromusculoskeletal Medicine, Sports Medicine036-063775ILLINOISNo
4204D00000XNeuromusculoskeletal Medicine & OMM37512-04WISCONSINNo
5207PE0004XEmergency MedicineEmergency Medical Services036-063775ILLINOISNo
6207PE0004XEmergency MedicineEmergency Medical Services03005IOWANo
7207PE0004XEmergency MedicineEmergency Medical Services40617MINNESOTANo
8207PE0004XEmergency MedicineEmergency Medical Services37512-021WISCONSINNo
9207Q00000XFamily Medicine37512-021WISCONSINNo
10207Q00000XFamily Medicine03005IOWANo
11207Q00000XFamily Medicine036-063775ILLINOISNo
12207Q00000XFamily Medicine40617MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E-37161MEDICARE UPINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.