Individual provider · Type 1 NPI
Lawrence Wayne Shivertaker, MD
Independent Medical Examiner Physician · Orange Park, FL
NPI number
1194963454
Active
Practice location
2486 Shalimar Ln
Orange Park, FL 32073-6123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Medical Examiner Physician Primary | 202C00000X | ME60157 (FL) |
Independent Medical Examiner Physician: A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
About NPI 1194963454
Lawrence Wayne Shivertaker, MD's National Provider Identifier is 1194963454, issued on Jan 25, 2009. The primary taxonomy on file is Independent Medical Examiner Physician (202C00000X), and the practice location is in Orange Park, FL. The record was last updated on Jan 25, 2009.