Individual
DR. LAWRENCE EDWARD TABONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2630 E 7TH ST, CHARLOTTE, NC 28204-4318
(704) 355-9484
Mailing address
PO BOX 602478, CHARLOTTE, NC 28260-2478
(704) 355-9484
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036126755
IL
208600000X
Surgery Physician
Primary
201200244
NC
208600000X
Surgery Physician
25985
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396991501
—
NC
05
—
Q0024V
—
SC
Enumeration date
08/07/2008
Last updated
04/15/2022
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