Individual
DR. LAWRENCE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
806 TUURI PL, FLINT, MI 48503-2465
(810) 767-5750
(810) 768-7511
Mailing address
806 TUURI PL, FLINT, MI 48503-2465
(810) 767-5750
(810) 768-7511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301044188
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2713937
—
MI
Enumeration date
07/17/2006
Last updated
10/03/2011
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