Individual
DR. FREDERICK LOCKE LAWRENCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 N MAIN ST, ROSCOMMON, MI 48653-7934
(989) 275-8565
(989) 275-8746
Mailing address
249 RISING FAWN TRL, ROSCOMMON, MI 48653-9261
(989) 275-8565
(989) 275-8746
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
FL040301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107200022
BCBS
MI
Enumeration date
08/23/2006
Last updated
07/08/2007
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