Lawrence L Line in Hattiesburg - Sports Medicine
Lawrence L Line - NPI 1427087592
Lawrence L Line is a Sports Medicine in Hattiesburg, Mississippi. Lawrence L Line practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Lawrence L Line is 1427087592. The last update date is 2009-12-23.
Lawrence L Line's current location address is 3688 Veterans Memorial Dr, Hattiesburg, Mississippi. You can contact this provider via phone number 6015547400 and fax number 6015547488. The mailing address for Lawrence L Line is 3688 Veterans Memorial Dr, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence L Line |
|---|---|
| Address | 3688 Veterans Memorial Dr, Hattiesburg, Mississippi |
| Phone Number | 6015547400 |
| Fax Number | 6015547488 |
| Sole Proprietor | N |
| Credentials | M.D., |
NPI Number Detail
| NPI Number | 1427087592 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2009-12-23 |
Provider Mailing Address Detail
| Address | 3688 Veterans Memorial Dr |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394018246 |
| Phone Number | 6015547400 |
| Fax Number | 6015547488 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 12369 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114800 | MS | -- |
Post Comment/ Review Below
What is the Lawrence L Line's 1427087592?
The Lawrence L Line's NPI (National Provider Identifier) Number is 1427087592. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lawrence L Line?
The Lawrence L Line is situated at 3688 Veterans Memorial Dr, in the city of Hattiesburg, state of MS, with the zip code 394018246.
What is Lawrence L Line's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lawrence L Line's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.
On what date did the Lawrence L Line receive its 1427087592 assignment from the Centers for Medicare & Medicaid Services?
The Lawrence L Line was assigned its 1427087592 by the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date were the Lawrence L Line's details last updated?
The information pertaining to the Lawrence L Line, including its address, specialty, and other details, was most recently updated on 2009-12-23.