Doctor Name: | DR. LAWRENCE P. HARTMAN |
NPI Number: | 1558339101 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 36815 |
Business Practice Address: | 135 W Ravine Rd Suite 4a Kingsport, TN - 376603847 |
Business Phone Number: | 4233929300 |
Business Fax Number: | 4233929365 |
Mailing Address: | 135 W Ravine Rd, Suite 4a KINGSPORT |
State: | TN |
Postal Code: | 376603847 |
Phone Number: | 4233929300 |
Fax Number: | 4233929365 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 36815 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |