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Individual

DR. LAWRENCE LEE PROKOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3860 DOBIE RD, OKEMOS, MI 48864-3704
(517) 381-6100
(517) 381-6201
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 381-6100
(517) 381-6201

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101007980
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407944747
MI
05
4487227
MI
Enumeration date
10/11/2006
Last updated
06/27/2023
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