Provider Demographics
NPI:1033265178
Name:LAWRENCE, KARL E (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:E
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7328 MIDDLEBROOK PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3139
Mailing Address - Country:US
Mailing Address - Phone:865-769-2600
Mailing Address - Fax:865-769-2616
Practice Address - Street 1:7328 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3139
Practice Address - Country:US
Practice Address - Phone:865-769-2600
Practice Address - Fax:865-769-2616
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN30474207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3730540Medicaid
TNG85393Medicare UPIN
TN3730540Medicaid