Individual
DR. JENNIFER LAWHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 N OTSEGO AVE, GAYLORD, MI 49735-1558
(989) 731-7760
(989) 731-7748
Mailing address
271 MCCOY RD W, GAYLORD, MI 49735-8253
(989) 731-7708
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101017637
MI
207RH0003X
Hematology & Oncology Physician
Primary
5101017637
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF96004
MEDICARE GROUP
MI
Enumeration date
07/08/2008
Last updated
12/22/2020
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