Individual
DR. CHRISTYNE ELLA LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30400 TELEGRAPH RD, SUITE 350, BINGHAM FARMS, MI 48025-4537
(248) 353-9460
(248) 353-8084
Mailing address
611 MARTIN LUTHER KING JR BLVD, SUITE 350, DETROIT, MI 48201-2273
(313) 832-6300
(313) 832-2075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301064439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F01470
BCBS
MI
05
—
1045051380
—
MI
Enumeration date
08/30/2006
Last updated
01/11/2017
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