Organization
LAURA MCMAHON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA MCMAHON MD (OWNER)
(586) 731-4100
Entity
Organization
Contact information
Practice address
50505 SCHOENHERR RD, SUITE 270, SHELBY TWP, MI 48315
(586) 731-4100
(586) 731-4063
Mailing address
50505 SCHOEHNERR RD, SUITE 270, SHELBY TWP, MI 48315
(586) 731-4100
(586) 731-4063
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LM061738
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010E028000
BC/BS
MI
01
—
2605010291
BCBS
MI
Enumeration date
12/11/2006
Last updated
05/04/2009
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