Individual
LAWRENCE S. DEWITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1410 TUSCULUM BLVD, SUITE 2500, GREENEVILLE, TN 37745-5821
(423) 638-1291
(423) 638-9398
Mailing address
1410 TUSCULUM BLVD, SUITE 2500, GREENEVILLE, TN 37745-5821
(423) 638-1291
(423) 638-9398
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2326
TN
363AM0700X
Medical Physician Assistant
PA 9103020
FL
Other
Enumeration date
01/16/2008
Last updated
04/11/2013
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