Basic Information
Provider Information
NPI: 1528017324
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHAEFFER
FirstName: LAWRENCE
MiddleName: ANTHONY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1900 S COULTER ST
Address2: SUITE C
City: AMARILLO
State: TX
PostalCode: 791061784
CountryCode: US
TelephoneNumber: 8063533061
FaxNumber: 8063533435
Practice Location
Address1: 1900 S COULTER ST
Address2:  
City: AMARILLO
State: TX
PostalCode: 791061784
CountryCode: US
TelephoneNumber: 8063533061
FaxNumber: 8063533435
Other Information
ProviderEnumerationDate: 05/09/2006
LastUpdateDate: 01/24/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XH5053TXY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
174400000XH5053TXN Other Service ProvidersSpecialist 

No ID Information.


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