# LAWRENCE JOSEPH GOTTS DO PLLC

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

## Provider details

- **NPI number:** 1639204498
- **Authorized official:** MR. LAWRENCE J. GOTTS DO (OWNER)
- **Authorized official phone:** (270) 726-4444

## Contact information

- **Practice address:** 1621 S NASHVILLE ST, SUITE 104, RUSSELLVILLE, KY 42276
- **Practice address phone:** (270) 726-4444
- **Practice address fax:** (270) 726-4400
- **Mailing address:** 1621 S NASHVILLE ST, SUITE 104, RUSSELLVILLE, KY 42276
- **Mailing address phone:** (270) 726-4444
- **Mailing address fax:** (270) 726-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 06/27/2011