Individual
DR. LAWRENCE B RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
22908 WICK RD, SUITE C, TAYLOR, MI 48180-3589
(313) 295-2660
(313) 295-1878
Mailing address
22908 WICK RD, SUITE C, TAYLOR, MI 48180-3589
(313) 295-2660
(313) 295-1878
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001176
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1658287
—
MI
05
—
1717566
—
MI
05
—
2845097
—
MI
01
—
480006260
MR RR TAYLOR
MI
01
—
480011674
RAILROAD MEDICARE
MI
01
—
480D710100
BCBSM GROUP HWL
MI
01
—
480F302060
BCBSM GROUP SLD
MI
01
—
4858255610
BCBSM TLR
MI
Enumeration date
04/03/2006
Last updated
11/20/2012
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