Individual
DR. LAWRENCE GERARD NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4660 S HAGADORN RD, SUITE 420, EAST LANSING, MI 48823-5376
(517) 884-6100
(517) 884-6233
Mailing address
4660 S. HAGADORN ROAD, SUITE 420, EAST LANSING, MI 48823
(517) 884-6100
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101012213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5112213
—
MI
Enumeration date
08/19/2006
Last updated
12/15/2009
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