# LAWRENCE M LINETT, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306039185
- **Authorized official:** DR. LAWRENCE M. LINETT M.D. (OWNER)
- **Authorized official phone:** (910) 791-2788

## Contact information

- **Practice address:** 4501 MAIN ST, UNIT 2, SHALLOTTE, NC 28470-4589
- **Practice address phone:** (910) 754-9000
- **Practice address fax:** (910) 754-9080
- **Mailing address:** 2595 S 17TH ST, WILMINGTON, NC 28401-7748
- **Mailing address phone:** (910) 791-2788
- **Mailing address fax:** (910) 791-2711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | 52071 | NC | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 10/07/2014