Individual
MR. HARRY M. LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1042 E 3RD ST, STE 102, CHATTANOOGA, TN 37403-2167
(423) 265-1651
(423) 756-0050
Mailing address
1042 E 3RD ST, STE 102, CHATTANOOGA, TN 37403-2167
(423) 265-1651
(423) 756-0050
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 2936
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00061894A
GA MEDICAID
GA
05
—
3144956
—
TN
Enumeration date
06/24/2005
Last updated
01/19/2010
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