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Amy Christine Lawrence

Family Medicine

Allopathic & Osteopathic Physicians

2421 N John B Dennis Hwy, Kingsport, TN 37660-4773

PECOS Enrollment

This provider is enrolled in PECOS as AMY LAWRENCE.

Based on the most recent information from CMS, provider Amy Christine Lawrence is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1740523620
Provider Type
Individual
Full Name
Lawrence, Amy Christine
Title
Dr.
Credential
D.O.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/29/2013
Last Updated
3/17/2018

Contact Information

Practice Location

2421 N John B Dennis Hwy, Kingsport, TN 37660-4773

(423) 282-1480

(423) 928-1353

Mailing Location

PO Box 4018, Johnson City, TN 37602-4018

(423) 282-1480

(423) 928-1353

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License DO2838 Tennessee

Provider Identifiers

ID	Description	Issuer
ID Q014449	Description Medicaid	Issuer Unlisted Tennessee

Amy Christine Lawrence

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kahle, Kelly

Bates, Chad

Misischia, Kevin D

Vaughn, Jeffrey

Carroll, Daniel D

Funke, Robert Harold

Ananthula, Parvati

Peters-Diamond, Jennifer Carlita

Poortenga, Cynthia L

Barakam, Neha