Provider Demographics
NPI:1073518098
Name:LAMAN, CRAIG ALAN (DO)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:ALAN
Last Name:LAMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8707 ASHEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-4502
Mailing Address - Country:US
Mailing Address - Phone:865-933-4159
Mailing Address - Fax:865-933-4065
Practice Address - Street 1:8707 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-4502
Practice Address - Country:US
Practice Address - Phone:865-933-4159
Practice Address - Fax:865-933-4065
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO625207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN0101OtherJOHN DEERE
TN5008565OtherAETNA
TN010007011OtherRAILROAD MEDICARE
TN2005621OtherBLUE CROSS
TN3734041OtherMEDICARE GROUP
TN100011106OtherPHP
TN3734041Medicaid
TN3734041Medicaid