Bushkell, Lawrence L

Bushkell, Lawrence L is an individual health care provider with primary practice located at 2018 Western Ave , Knoxville TN 37921-5718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bushkell, Lawrence L can be contacted via phone (865) 544-0406.

Contact Information

Primary practice address
2018 Western Ave Knoxville TN 37921-5718
Fax: (865) 544-0480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 13438 Tennessee
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 13438 Tennessee

Profile Details

NPI number 1376501544
LBN Legal business name Bushkell, Lawrence L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376501544 NPPES
Tennessee MEDICAID 3376258
Tennessee Other 0015500
Tennessee Other 4034509

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