Individual
BENJAMIN LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 948-3030
Mailing address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(734) 771-8504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-1274
HI
Other
Enumeration date
01/20/2021
Last updated
01/23/2025
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