Provider Demographics
NPI:1619450160
Name:CLAIBORNE, LAWRENCE ALLAN (DVM)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:ALLAN
Last Name:CLAIBORNE
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-3118
Mailing Address - Country:US
Mailing Address - Phone:423-620-8622
Mailing Address - Fax:423-639-0743
Practice Address - Street 1:370 MORGAN RD
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-3118
Practice Address - Country:US
Practice Address - Phone:423-620-8622
Practice Address - Fax:423-639-0743
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5840174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist