Individual
KEITH LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HEMLOCK ST, TAWAS CITY, MI 48763-9237
(989) 362-9405
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704154648
MI
Other
Enumeration date
07/03/2006
Last updated
09/06/2023
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