Individual
LAWRENCE PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15200 KERCHEVAL AVE, GROSSE POINTE PARK, MI 48230-1356
(313) 417-6100
(313) 417-6107
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301507971
MI
Other
Enumeration date
05/14/2020
Last updated
08/16/2023
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