Individual
LAWRENCE J MCMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2211 OLD EARHART RD STE 195, ANN ARBOR, MI 48105-2963
(734) 615-9200
(734) 615-9205
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101011410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316028541
—
MI
Enumeration date
10/17/2006
Last updated
01/18/2021
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