| Lawrence William Costa, Jr. | |
|
1410 University Ave Sewanee TN 37375-2304 | |
| (931) 924-4200 | |
| Not Available |
| Full Name | Lawrence William Costa, Jr. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1410 University Ave, Sewanee, Tennessee |
| Authorized Official Name and Position | Vonna K Layne (OFFICE MANAGER) |
| Authorized Official Contact | 9319244200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence William Costa, Jr. Po Box 9 Monteagle TN 37356-0009 | Lawrence William Costa, Jr. 1410 University Ave Sewanee TN 37375-2304 Ph: (931) 924-4200 |
| NPI Number | 1598937955 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598937955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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