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Individual

LAWRENCE JOHN POLLACK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1273 HICKORY LN, HOUGHTON, MI 49931-1609
(906) 482-8332
Mailing address
1273 HICKORY LN, HOUGHTON, MI 49931-1609
(906) 482-8332

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006156
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C14503
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
02/01/2006
Last updated
07/08/2007
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