Individual
NATHAN GRANT LAWRENCE
Active
Individual
NATHAN GRANT LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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