Lawrence, Peter G

Lawrence, Peter G is an individual health care provider with primary practice located at 28 Medical Center Dr , Jackson TN 38301-3947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lawrence, Peter G can be contacted via phone (731) 427-9971.

Contact Information

Primary practice address
28 Medical Center Dr Jackson TN 38301-3947
Phone: (731) 427-9971
Fax: (731) 424-2052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000038436 Tennessee

Profile Details

NPI number 1124001219
LBN Legal business name Lawrence, Peter G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 27th, 2012 - about 12 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 1124001219 NPPES
Tennessee MEDICAID 3892671
Tennessee Other 8805391
Tennessee Other 4083742
Tennessee Other 07646597

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