Individual
LAWRENCE HOLLOWAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
46591 ROMEO PLANK RD STE 133, MACOMB, MI 48044-5705
(586) 333-5336
Mailing address
46591 ROMEO PLANK RD STE 133, MACOMB, MI 48044-5705
(586) 333-5336
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704273835
MI
Other
Enumeration date
05/05/2015
Last updated
09/11/2019
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