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Individual

DR. LAWRENCE H REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1404 TUSCULUM BLVD, STE 1100, GREENEVILLE, TN 37745-4279
(423) 787-7020
(423) 787-7025
Mailing address
1404 TUSCULUM BLVD, STE 1100, GREENEVILLE, TN 37745-4279
(423) 787-7020
(423) 787-7025

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD0000007105
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1539546
UMWA #
TN
01
3046612
BCBS #
TN
01
62166246601
JOHN DEERE #
TN
Enumeration date
09/12/2005
Last updated
07/08/2007
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