Organization
LAWRENCE M LINETT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MAX LINETT M.D. (OWNER)
(910) 791-2788
Entity
Organization
Contact information
Practice address
2595 S 17TH ST, WILMINGTON, NC 28401-7748
(910) 791-2788
(910) 791-2711
Mailing address
2595 S 17TH ST, WILMINGTON, NC 28401-7748
(910) 791-2788
(910) 791-2711
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
29322
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8910174
—
NC
Enumeration date
07/26/2007
Last updated
01/02/2014
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