Individual
MR. LAWRENCE WADE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 743-1609
(615) 743-1670
Mailing address
504 HEARTHSTONE CIR, BRENTWOOD, TN 37027-4323
(615) 371-8225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C-5331
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032770
—
TN
Enumeration date
08/21/2006
Last updated
09/02/2025
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