Individual
PAUL LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-3628
(423) 230-8502
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2448
TN
Other
Enumeration date
11/29/2013
Last updated
03/20/2014
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