Individual
DR. LAWRENCE W WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3725 CHAMPION HILLS DR, SUITE 2000, MEMPHIS, TN 38125-2597
(901) 367-9001
(901) 565-8787
Mailing address
PO BOX 1000 DEPT 362, MEMPHIS, TN 38148-0362
(901) 373-9704
(901) 255-5223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8296
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122885
—
MS
05
—
106996001
—
AR
01
—
110218393
RAIL RAOD MEDICARE
—
05
—
3151917
—
TN
01
—
3153163
BCBST
TN
05
—
3159686
—
TN
01
—
4295606
AETNA HMO
—
01
—
512186
VESTICA
—
01
—
93161
BCBS AR
AR
Enumeration date
07/18/2005
Last updated
11/30/2011
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