Provider Demographics
NPI:1598859894
Name:HOLST, LORIN G (MD)
Entity Type:Individual
Prefix:
First Name:LORIN
Middle Name:G
Last Name:HOLST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1909 CEDARDALE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1549
Mailing Address - Country:US
Mailing Address - Phone:865-414-5221
Mailing Address - Fax:
Practice Address - Street 1:930 ADELL REE PARK LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2543
Practice Address - Country:US
Practice Address - Phone:865-769-2600
Practice Address - Fax:865-769-2616
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN35814207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine