Organization
LDK III HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE DUSTIN KIMBALL III D.O. (PHYSICIAN)
(517) 437-0010
Entity
Organization
Contact information
Practice address
451 HIDDEN MEADOWS DR, SUITE 120, HILLSDALE, MI 49242-9812
(517) 437-0010
(517) 437-0319
Mailing address
451 HIDDEN MEADOWS DR, SUITE 120, HILLSDALE, MI 49242-9812
(517) 437-0010
(517) 437-0319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010860
MI
Other
Enumeration date
07/10/2014
Last updated
08/19/2014
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