NPI 1194963454

Lawrence Wayne Shivertaker, MD

Practitioner Independent Medical Examiner Physician Orange Park, FL

Practice location

Address: 2486 Shalimar Ln, Orange Park, FL 32073-6123
Phone: (904) 269-5274

Registered specialties

Independent Medical Examiner Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202C00000X Licence ME60157 (FL)

Other Independent Medical Examiner providers in Florida →

Registry record

NPI: 1194963454
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2009
Record last updated: 25 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.