Individual
JEFFREY E LAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6255 INKSTER RD, SUITE 103, GARDEN CITY, MI 48135
(734) 422-8400
(734) 422-6273
Mailing address
6255 INKSTER RD, SUITE 103, GARDEN CITY, MI 48135-2577
(734) 422-8400
(734) 422-6273
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101008720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1975533
—
MI
01
—
5820444
BCBSM
MI
Enumeration date
01/27/2006
Last updated
07/12/2018
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