Organization
LAWRENCE JOSEPH GOTTS DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE J. GOTTS DO (OWNER)
(270) 726-4444
Entity
Organization
Contact information
Practice address
1621 S NASHVILLE ST, SUITE 104, RUSSELLVILLE, KY 42276
(270) 726-4444
(270) 726-4400
Mailing address
1621 S NASHVILLE ST, SUITE 104, RUSSELLVILLE, KY 42276
(270) 726-4444
(270) 726-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176043
BCBS
KY
01
—
080160808
RAILROAD
KY
05
—
64010895
—
KY
Enumeration date
02/22/2007
Last updated
06/27/2011
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