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Individual

DR. LAWRENCE A HIGGINBOTHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
50 HUMPHREYS CTR, SUITE 39, MEMPHIS, TN 38120-2368
(901) 747-4611
(901) 747-4636
Mailing address
50 HUMPHREYS CTR, SUITE 39, MEMPHIS, TN 38120-2368
(901) 747-4611
(901) 747-4636

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4164
TN

Other

Enumeration date
07/14/2008
Last updated
07/14/2008
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