Provider Demographics
NPI:1356301063
Name:STARNES, LAWRENCE W II (ATC)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:W
Last Name:STARNES
Suffix:II
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5618 BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42210-9412
Mailing Address - Country:US
Mailing Address - Phone:270-597-3429
Mailing Address - Fax:270-597-3429
Practice Address - Street 1:200 WILD CAT WAY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42210-9032
Practice Address - Country:US
Practice Address - Phone:270-597-2151
Practice Address - Fax:270-597-2693
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYAT402255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer