Individual
DR. LAWRENCE MAX LINETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2307 N COLLEGE RD, WILMINGTON, NC 28405-6427
(910) 392-1488
(910) 392-1489
Mailing address
1102 MARKET ST, WILMINGTON, NC 28401-4328
(910) 763-4440
(910) 763-4445
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29322
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
29322
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910174
—
NC
Enumeration date
08/11/2005
Last updated
03/27/2015
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