Individual
DR. LANCE THOMAS LAURENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P000771
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023031
BC/BS PROVIDER NUMBER
TN
01
—
226475000
MAGELLAN PROVIDER NUMBER
TN
01
—
368700
TRIAGON/MEDIGAP PROV #
TN
Enumeration date
11/01/2006
Last updated
05/28/2015
Update your record
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