Lawrence Vidaver MD
NPI 1336354356 · Internal Medicine Physician · Glen Burnie, MD
Lawrence Vidaver MD is a Internal Medicine Physician organization in Glen Burnie, MD (NPI 1336354356).
Provider details
- NPI number
- 1336354356
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Louise Macy, Billing Mgr(410) 298-8223
- License
- 025559 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-12
- Last updated
- 2007-11-20
Frequently asked questions
- What is Lawrence Vidaver MD's NPI number?
- Lawrence Vidaver MD's National Provider Identifier (NPI) is 1336354356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lawrence Vidaver MD?
- Lawrence Vidaver MD is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lawrence Vidaver MD located?
- Lawrence Vidaver MD's practice location on file with NPPES is 1411 Madison Park Dr, Glen Burnie, MD 21061-5613.
- What is Lawrence Vidaver MD's phone number?
- The practice phone number listed in the NPPES registry for Lawrence Vidaver MD is (410) 761-1037.
- Who is the authorized official for Lawrence Vidaver MD?
- The authorized official listed on Lawrence Vidaver MD's NPPES record is Louise Macy, Billing Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lawrence Vidaver MD's NPI active?
- Yes — Lawrence Vidaver MD's NPI (1336354356) is active in the NPPES registry as of the last update on 2007-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.