Individual
DR. LAWRENCE R HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 BRIARWOOD CIR, ANN ARBOR, MI 48108-1605
(734) 647-5940
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301407112
MI
207KA0200X
Allergy Physician
LH407112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4744075
—
MI
Enumeration date
07/27/2005
Last updated
10/11/2023
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