Lawrence Richard Jackson Jr. MD

NPI #1104021203 in Waverly, Tennessee

Provider Information

NPI Number
1104021203
Entity Type
Organization
Organization Name
Lawrence Richard Jackson Jr. MD
Primary Specialty
Family Medicine
Enumeration Date
Jun 19, 2007
Last Updated
Nov 21, 2025

Practice Location

Address
104 HILLWOOD DR
ZIP Code
37185-2116
Phone
(931) 296-3555

Authorized Official

Name
DR. LAWRENCE RICHARD JACKSON JR., MD
Title
OWNER
Phone
(931) 296-3555

Specialties & Taxonomy Codes

Specialty
Family Medicine

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