Provider Demographics
NPI:1518099092
Name:LAWHORN, CARL ERIC (LMT)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:ERIC
Last Name:LAWHORN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7513 LARUE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-4348
Mailing Address - Country:US
Mailing Address - Phone:865-250-5737
Mailing Address - Fax:
Practice Address - Street 1:7513 LARUE LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37938-4348
Practice Address - Country:US
Practice Address - Phone:865-250-5737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMT3973225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist