Organization
LAWRENCE M LINETT, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE M. LINETT M.D. (OWNER)
(910) 791-2788
Entity
Organization
Contact information
Practice address
431 WESTERN BLVD STE E, JACKSONVILLE, NC 28546-6823
(910) 355-6000
(910) 355-7533
Mailing address
2595 S 17TH ST, WILMINGTON, NC 28401-7748
(910) 791-2788
(910) 791-2711
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
29322
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52071
BC/BS
NC
Enumeration date
08/24/2007
Last updated
10/07/2014
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