Individual
NATHAN GRANT LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
(239) 208-3994
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
59590
TN
2084N0400X
Neurology Physician
Primary
ME174184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59590
STATE MEDICAL LICENSE
TN
Enumeration date
07/20/2015
Last updated
05/22/2025
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