Active NPI
Lawrence M Linett MD PLLC
- Sports Medicine (Internal Medicine) Physician
- Wilmington, NC
National Provider Identifier
1679763759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 29322
- Legal business name
- LAWRENCE M LINETT MD PLLC
- Practice address
- 2595 S 17TH St
Wilmington, NC 28401-7748 - Phone
- (910) 791-2788
- Fax
- (910) 791-2711
- NPI assigned
- Jul 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Max Linett, M.D.
- Title
- Owner
- Phone
- (910) 791-2788
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 29322 | NC | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC |
Addresses
Primary practice location
2595 S 17TH St
Wilmington, NC 28401-7748
Mailing address
2595 S 17TH St
Wilmington, NC 28401-7748
Phone (910) 791-2788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8910174 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388620800000",
"number": "1679763759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017748",
"telephone_number": "910-791-2788",
"fax_number": "910-791-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017748",
"telephone_number": "910-791-2788",
"fax_number": "910-791-2711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE M LINETT MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2014-01-02",
"status": "A",
"authorized_official_last_name": "LINETT",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "MAX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-791-2788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sports Medicine",
"state": "NC",
"license": "29322",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910174",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.