Provider Demographics
NPI:1699952978
Name:HELVESTON, LAWERENCE A (DC)
Entity type:Individual
Prefix:DR
First Name:LAWERENCE
Middle Name:A
Last Name:HELVESTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 LAMBDIN RD
Mailing Address - Street 2:P.O. BOX 16
Mailing Address - City:ANDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37705-3808
Mailing Address - Country:US
Mailing Address - Phone:865-806-5951
Mailing Address - Fax:
Practice Address - Street 1:122 LAMBDIN RD
Practice Address - Street 2:
Practice Address - City:ANDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37705-3808
Practice Address - Country:US
Practice Address - Phone:865-806-5951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC37111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor