Individual
DR. LAWRENCE E MADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 MADISON AVE STE 922, MEMPHIS, TN 38103-3483
(901) 448-5630
(901) 448-7255
Mailing address
910 MADISON AVE STE 922, MEMPHIS, TN 38103-3483
(901) 448-5630
(901) 448-7255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10777
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3876951
—
TN
Enumeration date
05/05/2006
Last updated
10/23/2015
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