Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jimmy Lynn Lawrence

Individual provider Athletic Trainer · NPI 1104197292

Jimmy Lynn Lawrence is an Athletic Trainer in Blacksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2012

Practice location Address checks out

675 Washington St SW
Blacksburg, VA 24060-9523
Phone: (540) 231-5690
Fax: (540) 231-7335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 126000313 (VA)

Record details

NPI number1104197292
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2012
Last updated in NPPESJanuary 20, 2012

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