Individual
LAWIENCE ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20128 NORTHROP ST, DETROIT, MI 48219
(313) 687-5262
Mailing address
19785 W 12 MILE RD, SOUTHFIELD, MI 48076-2584
(313) 687-5262
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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