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Individual

SAMIRA LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCPS

Contact information

Practice address
131 W SOUTH ST, KALAMAZOO, MI 49007-4710
(404) 219-9717
Mailing address
126 E KILGORE RD STE 400, PORTAGE, MI 49002-0596
(404) 219-9717

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
MI

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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