Lawrence M Fallat Dpm Pc

NPI 1275617649 - Podiatrist - 213E00000X

NPI Details
NPI 1275617649
Enumeration Date 10/24/2006
Last Updated 05/13/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LAWRENCE MICHAEL LAWRENCE
Position PRESIDENT
Phone (313) 389-2288
Fax (313) 389-2286
Practice Location
20555 ECORSE RD
TAYLOR MI, 48180-1992, US
Phone (313) 389-2288
Fax (313) 389-2286
Business Location
20555 ECORSE RD
TAYLOR MI, 48180-1992, US
Phone (313) 389-2288
Fax (313) 389-2286
Toxanomy
Taxonomy Code 213E00000X
License State Michigan
License Number LF000848
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According to our database, Lawrence M Fallat Dpm Pc NPI is 1275617649, taxonomy code is 213E00000X and license number is LF000848, license state is located at Michigan. Lawrence M Fallat Dpm Pc physically located at 20555 Ecorse Rd, Taylor MI, 48180-1992. NPI Number 1033115704 has the healthcare provider type.

1275617649 NPI number is provided on an as is basis without warranty of any kind. 1275617649 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence M Fallat Dpm Pc are for informational purposes only.