Individual
DR. LAWRENCE LIVERNOIS JOSEPH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5220 HIGHLAND RD STE 240, WATERFORD, MI 48327-1973
(248) 237-6580
Mailing address
PO BOX 930349, WIXOM, MI 48393-0349
(248) 543-9005
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301054690
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
LM054690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3309955
—
MI
Enumeration date
06/12/2006
Last updated
11/05/2025
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