# LAWRENCE P JENNINGS M D M S C

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

## Provider details

- **NPI number:** 1598723504
- **Authorized official:** DR. LAWRENCE P JENNINGS M.D. (PRESIDENT)
- **Authorized official phone:** (618) 262-5113

## Contact information

- **Practice address:** 1430 COLLEGE DR, SUITE A, MOUNT CARMEL, IL 62863-2649
- **Practice address phone:** (618) 262-5113
- **Practice address fax:** (618) 263-3195
- **Mailing address:** 1430 COLLEGE DR, SUITE A, MOUNT CARMEL, IL 62863-2649
- **Mailing address phone:** (618) 262-5113
- **Mailing address fax:** (618) 263-3195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036063272 | IL | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 04/08/2010