Organization
ELK RAPIDS FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES O LAWRENCE JR. MD (OWNER)
(231) 264-8282
Entity
Organization
Contact information
Practice address
124 AMES ST, ELK RAPIDS, MI 49629-9449
(231) 264-8282
Mailing address
124 AMES ST, ELK RAPIDS, MI 49629-9449
(231) 264-8282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080Z510130
BCBS GROUP NUMBER
MI
Enumeration date
05/28/2006
Last updated
05/02/2013
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