Individual
JOHN EDWARD LAWRENCE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 DENDRINOS DR, TRAVERSE CITY, MI 49684-8070
(517) 294-0393
Mailing address
2200 DENDRINOS DR, TRAVERSE CITY, MI 49684-8070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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