Provider Demographics
NPI:1891722633
Name:HAMNER, LAWRENCE RAEBURN III (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:RAEBURN
Last Name:HAMNER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 GENESEO RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5913
Mailing Address - Country:US
Mailing Address - Phone:210-615-7700
Mailing Address - Fax:210-615-1782
Practice Address - Street 1:225 GENESEO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5913
Practice Address - Country:US
Practice Address - Phone:210-867-9678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9530208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)