Individual
DR. LAWRENCE DAVID TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
101 S ADAMS ST, YPSILANTI, MI 48197-5489
(734) 482-7355
(734) 482-7320
Mailing address
PO BOX 980416, YPSILANTI, MI 48198-0416
(734) 482-7355
(734) 482-7320
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000880
MI
Other
Enumeration date
12/29/2005
Last updated
06/04/2008
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