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NPI Code Detail

MEDICARE: DR. LAWRENCE HOOKMAN M.D.

MEDICARE: DR. LAWRENCE HOOKMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician19139TN
2207RI0011XInterventional Cardiology Physician19139TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487644019
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE HOOKMAN M.D.
Provider Business Mailing Address
First Line : 110 EXECUTIVE PARK DR
Second Line :
City : CLINTON
State : TN
Zip : 37716-6876
Country : US
Telephone Number : 865-494-9241
Fax Number : 865-494-0895
Provider Business Practice Location Address
First Line : 110 EXECUTIVE PARK DR
Second Line :
City : CLINTON
State : TN
Zip : 37716-6876
Country : US
Telephone Number : 865-494-9241
Fax Number : 865-494-0895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 09/16/2020

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Directions to “ DR. LAWRENCE HOOKMAN M.D.” Practice Location

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