Lawrence Marvin Tierce, PT is a
Physical Therapist based in Okolona, Mississippi. Lawrence Marvin Tierce is licensed to practice in Mississippi (license number PT239) and his current practice location is
512 Rockwell Dr, Okolona, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 447-5777.
NPI number for Lawrence Marvin Tierce is 1508336504 and his current mailing address is 711 Avignon Dr, Ridgeland, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508336504.
Healthcare Provider's Profile
| Full Name | Lawrence Marvin Tierce |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 512 Rockwell Dr, Okolona, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508336504
- Provider Enumeration Date: 12/03/2018
- Last Update Date: 12/03/2018
Medical Identifiers
Medical identifiers for Lawrence Marvin Tierce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508336504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT239 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lawrence Marvin Tierce is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lawrence Marvin Tierce, PT
711 Avignon Dr,
Ridgeland, MS 39157-5120
Ph: (601) 605-6777 | Lawrence Marvin Tierce, PT
512 Rockwell Dr,
Okolona, MS 38860-1622
Ph: (662) 447-5777 |
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