Provider Demographics
NPI:1386701159
Name:SHUER, LAWRENCE MENDEL (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:MENDEL
Last Name:SHUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3413 RIDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4540
Mailing Address - Country:US
Mailing Address - Phone:650-723-6093
Mailing Address - Fax:650-723-7813
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:R 229 MAIL CODE 5327
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-6093
Practice Address - Fax:650-723-7813
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2024-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG397472086S0102X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA-89691Medicare UPIN