Gaines, Lawrence S

Gaines, Lawrence S is an individual health care provider with primary practice located at 3601 Tvc , Nashville TN 37232-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Gaines, Lawrence S can be contacted via phone (615) 322-3000.

Contact Information

Primary practice address
3601 Tvc Nashville TN 37232-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X P000683 Tennessee

Profile Details

NPI number 1508060872
LBN Legal business name Gaines, Lawrence S
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Mar 29th, 2022 - about 2 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 1508060872 NPPES
Tennessee Other 620476822 TAX ID
Tennessee MEDICAID 3689592 TAX ID

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