# LAWRENCE C. SWAN, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Covenant Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871674515
- **Authorized official:** LAWRENCE CARL SWAN M.D. (OWNER)
- **Authorized official phone:** (423) 339-1760

## Contact information

- **Practice address:** 2620 WESTSIDE DR NW, CLEVELAND, TN 37312-3605
- **Practice address phone:** (423) 339-1760
- **Practice address fax:** (423) 559-1483
- **Mailing address:** 2620 WESTSIDE DR NW, CLEVELAND, TN 37312-3605
- **Mailing address phone:** (423) 339-1760
- **Mailing address fax:** (423) 559-1483

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 12/01/2015