Individual
LAWRENCE M ASHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 E MEDICAL CENTER DR, SPC 5018, TC B1-208, ANN ARBOR, MI 48109-5000
(734) 936-5955
(734) 936-5941
Mailing address
1500 E MEDICAL CENTER DR, SPC 5018, TC B1-208, ANN ARBOR, MI 48109-5000
(734) 936-5955
(734) 936-5941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901010625
MI
1223G0001X
General Practice Dentistry
Primary
2901010625
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1956310180
BCBS OF MI
MI
01
—
D1062500
BCBS OF MI
MI
Enumeration date
11/30/2006
Last updated
02/22/2012
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