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NPI Code Detail

MEDICARE: DR. ROY F LAWRENCE MD

MEDICARE: DR. ROY F LAWRENCE MD
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
1207V00000XObstetrics & Gynecology PhysicianMD7135TN

General Provider Information

NPI Number : 1982626172
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROY F LAWRENCE MD
Provider Business Mailing Address
First Line : 1312 BISHOP ST
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5406
Country : US
Telephone Number : 731-885-5100
Fax Number : 731-885-7584
Provider Business Practice Location Address
First Line : 1312 BISHOP ST
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5406
Country : US
Telephone Number : 731-885-5100
Fax Number : 731-885-7584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/09/2007

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