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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLENN BOYKIN LAWRENCE JR., CSA

Active Sole Proprietor

MR. GLENN BOYKIN LAWRENCE JR., CSA is a Medical Laboratory Technician healthcare provider located in COLLIERVILLE, Tennessee. NPI 1780898205 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · COLLIERVILLE, TN

Registration Details

NPI Number
1780898205
Provider Type
Individual
Gender
Male
NPI Issued
May 10, 2007 (19.221344402084 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
104 E LAWNWOOD DR
COLLIERVILLE, TN, 380171516
Browse TN providers · Browse ZIP 38017
Phone
9018537462
Primary Specialty
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.