Individual
LAWRENCE J SAMUELS
Active
Individual
LAWRENCE J SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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