Individual
KENNETH RICHARD LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
30335 W 13 MILE RD STE 100, FARMINGTON HILLS, MI 48334
(248) 476-1616
(248) 476-6683
Mailing address
24300 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336
(248) 476-1616
(248) 476-6683
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
KL000565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1243424
—
MI
Enumeration date
07/28/2006
Last updated
05/29/2018
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