Organization
LAWRENCE USHER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JOSEPH USHER DO (PRESIDENT)
(586) 929-2988
Entity
Organization
Contact information
Practice address
3595 WABEEK LAKE DR W, BLOOMFIELD HILLS, MI 48302-1269
(586) 929-2988
(586) 929-2988
Mailing address
PO BOX 250943, W BLOOMFIELD, MI 48325-0943
(586) 929-2988
(586) 929-2988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
005506
MI
207R00000X
Internal Medicine Physician
083559
MI
207R00000X
Internal Medicine Physician
Primary
4301069572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F36316
BCBS OF MI
MI
05
—
1011949
—
MI
Enumeration date
11/28/2005
Last updated
10/01/2007
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