Mr. Glenn Boykin Lawrence Jr., CSA

Individual provider Surgical Technologist · NPI 1780898205

Mr. Glenn Boykin Lawrence Jr., CSA is a Surgical Technologist in Collierville, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since: 2007

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Practice location Address checks out

104 E Lawnwood Dr
Collierville, TN 38017-1516
Phone: (901) 853-7462

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

Specialties & licences

Surgical Technologist (primary)	Taxonomy 246ZS0410X

Record details

NPI number	1780898205
Entity type	Individual (Type 1)
Gender	Male
Credentials	CSA
Sole proprietor	Yes
NPI enumerated	May 10, 2007
Last updated in NPPES	July 8, 2007