Individual
CHAD LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
105 W STONE DR STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1560
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
747
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023312
—
TN
Enumeration date
10/01/2013
Last updated
03/17/2018
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