Lawrence Richard Jackson

  • 1104021203 NPI Number
  • |
  • Actived: 16 years ago
  • |
Lawrence Richard Jackson is a health care provider based in Waverly, TN. The NPI Number is 1104021203 and it has been active since 16 years ago. The specialty is Family Medicine, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Family Medicine services, Lawrence Richard Jackson is an excellent option. We are here to help you get the care you need.

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Overview of Lawrence Richard Jackson

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/19/2007
  • Last updated: 01/29/2008

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Po Box 270
    Waverly, TN 37185
  • Phone: 931-296-3555
  • Fax: 931-296-9085

Provider Practice Location

  • Address: 102 Hillwood Dr
    Waverly, TN 37185
  • Phone: 931-296-3555
  • Fax: 931-296-9085

Authorized Official

  • Name: DR. Lawrence Richard Jackson JR. MD
  • Position/Title: Owner
  • Telephone Number: 931-296-3555

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 3724150
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lawrence Richard Jackson?
  • A: The npi number for Lawrence Richard Jackson is 1104021203.
  • Q: What are Lawrence Richard Jackson's specialties?
  • A: Lawrence Richard Jackson's specialties are Family Medicine and different specialities.
  • Q: Where is Lawrence Richard Jackson business practice location?
  • A: Lawrence Richard Jackson business practice location is 102 Hillwood Dr, Waverly, TN 37185.
  • Q: How to contact Lawrence Richard Jackson?
  • A: You can contact Lawrence Richard Jackson via 931-296-3555.
  • Q: What is the authorized official for Lawrence Richard Jackson?
  • A: The authorized office name is DR. Lawrence Richard Jackson JR. MD with position/title is Owner and you can reach the authorized official via phone number 9312963555.