Provider Demographics
NPI:1871586305
Name:BUXTON, LAWRENCE FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:FRANKLIN
Last Name:BUXTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1219
Mailing Address - Street 2:
Mailing Address - City:BURNET
Mailing Address - State:TX
Mailing Address - Zip Code:78611-7219
Mailing Address - Country:US
Mailing Address - Phone:512-715-3364
Mailing Address - Fax:512-406-6505
Practice Address - Street 1:202 COUNTY ROAD 340A
Practice Address - Street 2:SUITE 2
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-4544
Practice Address - Country:US
Practice Address - Phone:512-715-3135
Practice Address - Fax:512-715-3137
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE78412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131732307Medicaid
B21619Medicare UPIN
TX8L13998Medicare PIN