Individual
DR. LAWRENCE W WHITLOCK
Active
Individual
DR. LAWRENCE W WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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