Individual
LAWRENCE M FALLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
20555 ECORSE RD, TAYLOR, MI 48180-1992
(313) 389-2288
(313) 389-2286
Mailing address
20555 ECORSE RD, TAYLOR, MI 48180-1992
(313) 389-2288
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000848
MI
Other
Enumeration date
05/03/2006
Last updated
10/15/2014
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