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Individual

LAWRENCE P ZABLOCKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
37595 7 MILE RD, 250, LIVONIA, MI 48152-1003
(734) 432-7723
(734) 432-7761
Mailing address
25925 TELEGRAPH RD, 210, SOUTHFIELD, MI 48034-2518
(248) 746-3218
(248) 746-3218

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301053347
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0M99100
INDIVIDUAL MEDCIARE NUMBER
MI
05
276215410
MI
Enumeration date
08/18/2005
Last updated
09/10/2008
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