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NPI Code Detail

MEDICARE: DR. LAWRENCE H REID MD

MEDICARE:  DR. LAWRENCE H REID  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
1207N00000XDermatology PhysicianMD0000007105TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13046612OTHERTNBCBS #
21539546OTHERTNUMWA #
362166246601OTHERTNJOHN DEERE #

General Provider Information

NPI Number : 1699760017
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE H REID MD
Provider Business Mailing Address
First Line : 1404 TUSCULUM BLVD
Second Line : STE 1100
City : GREENEVILLE
State : TN
Zip : 37745-4279
Country : US
Telephone Number : 423-787-7020
Fax Number : 423-787-7025
Provider Business Practice Location Address
First Line : 1404 TUSCULUM BLVD
Second Line : STE 1100
City : GREENEVILLE
State : TN
Zip : 37745-4279
Country : US
Telephone Number : 423-787-7020
Fax Number : 423-787-7025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LAWRENCE H REID MD” Practice Location

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