Provider Demographics
NPI:1558347450
Name:LAWHORN, DAVID W (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:LAWHORN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 305172
Mailing Address - Street 2:DEPT 109
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-5172
Mailing Address - Country:US
Mailing Address - Phone:931-647-5034
Mailing Address - Fax:931-552-6663
Practice Address - Street 1:100 NORTHCREST DRIVE
Practice Address - Street 2:NORTHCREST MEDICAL CENTER, ED DEPARTMENT
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172
Practice Address - Country:US
Practice Address - Phone:931-647-5034
Practice Address - Fax:931-552-6663
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2014-08-06
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Provider Licenses
StateLicense IDTaxonomies
TN19204207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
F48781Medicare UPIN