Individual
JOSHUA KYLE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 528-2541
Mailing address
3628 CUMBY RD, COOKEVILLE, TN 38501-7844
(901) 826-4847
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34115
TN
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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