Individual
DR. LAWRENCE JOHN DESJARLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 CURTIS RD, ADRIAN, MI 49221-1752
(517) 264-5603
Mailing address
2000 CURTIS RD, ADRIAN, MI 49221-1752
(517) 265-8970
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301058635
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03756
PARAMOUNT ID
MI
01
—
0704603132
BC PROVIDER NUMBER
MI
01
—
104133
CARE CHOICES ID
MI
01
—
13151
GREAT LAKES HEALTH CARE
MI
05
—
3109892
—
MI
01
—
383220131
EMP TAX ID#
MI
01
—
4637500
AETNA US HEALTHCARE
MI
01
—
5865
HEALTH PLAN OF MICHIGAN
MI
01
—
LD058635
BC REFERRING PROV NUMBER
MI
Enumeration date
04/28/2006
Last updated
06/19/2020
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