Search › Tennessee › 101YA0400X
Lawrence Wilson, NACAII, LADACII,
NPI 1902327018 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1548 Poplar Ave
Memphis, TN 38104 - Phone
- (901) 277-6101
- Fax
- (901) 729-2933
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- VA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee