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Individual

LAWRENCE A. HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, CHT

Contact information

Practice address
5779 BRAINERD RD, CHATTANOOGA, TN 37411-4011
(423) 800-7500
Mailing address
5779 BRAINERD RD, CHATTANOOGA, TN 37411-4011
(423) 800-7500

Taxonomy

Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
0000009817
TN
2251H1200X
Hand Physical Therapist
PT013817
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000477214
BCBS FACET #
KY
Enumeration date
04/03/2006
Last updated
01/11/2019
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