Individual
LAWRENCE J SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1604 GUNBARREL RD, CHATTANOOGA, TN 37421-3125
(423) 893-7226
(423) 893-7398
Mailing address
1604 GUNBARREL RD, CHATTANOOGA, TN 37421-3125
(423) 648-2395
(423) 648-7542
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
039460
GA
2085R0202X
Diagnostic Radiology Physician
Primary
MD26225
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004250
BCBS OF GA
GA
05
—
00635852
—
GA
01
—
3018076
BCBS OF TN
TN
05
—
3805936
—
TN
01
—
4073023
BCBS OF TN
TN
01
—
498282
BCBS OF GA
GA
Enumeration date
07/21/2006
Last updated
06/25/2025
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