Individual
DR. TERRY LAIRMORE
Active
Individual
DR. TERRY LAIRMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
321853
LA
208600000X
Surgery Physician
M1193
TX
2086X0206X
Surgical Oncology Physician
Primary
321853
LA
2086X0206X
Surgical Oncology Physician
M1193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1728842-01
—
TX
01
—
1728842-02
CSHCN
TX
01
—
8S0392
BLUE SHIELD
TX
Enumeration date
03/24/2006
Last updated
06/23/2023
Update your record
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