Individual
GINA MARIE LAWRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 M 139, BENTON HARBOR, MI 49022-3881
(269) 927-5400
(269) 982-5113
Mailing address
50 INDUSTRIAL PARK RD, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006200
MI
363AM0700X
Medical Physician Assistant
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—
Other
Enumeration date
01/18/2012
Last updated
12/12/2012
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