# LAWRENCE USHER DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487637195
- **Authorized official:** DR. LAWRENCE JOSEPH USHER DO (PRESIDENT)
- **Authorized official phone:** (586) 929-2988

## Contact information

- **Practice address:** 3595 WABEEK LAKE DR W, BLOOMFIELD HILLS, MI 48302-1269
- **Practice address phone:** (586) 929-2988
- **Practice address fax:** (586) 929-2988
- **Mailing address:** PO BOX 250943, W BLOOMFIELD, MI 48325-0943
- **Mailing address phone:** (586) 929-2988
- **Mailing address fax:** (586) 929-2988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 005506 | MI | — |
| 207R00000X | Internal Medicine Physician | 083559 | MI | — |
| 207R00000X | Internal Medicine Physician | 4301069572 | MI | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 10/01/2007