Individual
DR. LAURENCE MATTHEW PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 20TH ST STE 606, KNOXVILLE, TN 37916-1863
(865) 546-8040
(865) 541-2288
Mailing address
501 20TH ST STE 606, KNOXVILLE, TN 37916-1863
(865) 546-8040
(865) 541-2288
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
FP3098072
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12504733
CAQH
—
05
—
1532303
—
TN
Enumeration date
08/28/2008
Last updated
10/02/2014
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