Individual
REET LAWHON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 W RAVINE RD, SUITE 5-B, KINGSPORT, TN 37660-3847
(423) 224-3460
(423) 224-3465
Mailing address
PO BOX 1308, KINGSPORT, TN 37662-1308
(423) 224-3460
(423) 224-3465
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34902
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMINISTRATORS
—
05
—
010020051
—
VA
01
—
100035914
PHP TENNCARE
—
01
—
293135
ANTHEM BCBS
—
05
—
3865299
—
TN
01
—
4059535
BLUE SHIELD OF TENNESSEE
—
05
—
5900349
—
NC
01
—
64034663
KY MEDICAID
KY
01
—
TN0100
JOHN DEERE
—
Enumeration date
08/22/2005
Last updated
06/26/2008
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