Lawrence Goodman III
Driver in Murfreesboro, TN. Individual provider (NPI-1).
NPI number1073362661
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1073362661
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lawrence Goodman III
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2024
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
2206 Haven DrMurfreesboro, TN 37130-5406
Phone 615-473-4238
Mailing address
2206 Haven DrMurfreesboro, TN 37130-5406
Phone 615-473-4238
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