Individual
MR. LAWRENCE KAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4175 N EUCLID AVE, SUITE 3, BAY CITY, MI 48706-2483
(989) 667-0491
(989) 667-0493
Mailing address
4175 N EUCLID AVE, SUITE 3, BAY CITY, MI 48706-2483
(989) 667-0491
(989) 667-0493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001072
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010Z960170
BLUE CROSS BLUE SHIELD
MI
01
—
0Z96017
MEDICARE PTAN
MI
01
—
1366488728
FACILITY NPI
MI
Enumeration date
07/09/2006
Last updated
05/19/2008
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