Gross, Lawrence B

Gross, Lawrence B is an individual health care provider with primary practice located at 3960 New Covington Pike , Memphis TN 38128-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gross, Lawrence B can be contacted via phone (901) 516-5211.

Contact Information

Primary practice address
3960 New Covington Pike Memphis TN 38128-2504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20132 Tennessee

Profile Details

NPI number 1780686642
LBN Legal business name Gross, Lawrence B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 8th, 2016 - about 8 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 1780686642 NPPES
Tennessee MEDICAID 3824782

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