Coryell, Lawrence W

Coryell, Lawrence W is an individual health care provider with primary practice located at 804 Service Road Room A204, East Lansing MI 48824-7037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Coryell, Lawrence W can be contacted via phone (517) 353-4920.

Contact Information

Primary practice address
804 Service Road Room A204 East Lansing MI 48824-7037
Phone: (517) 353-4920
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301040697 Michigan
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301040697 Michigan

Profile Details

NPI number 1710935382
LBN Legal business name Coryell, Lawrence W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 7th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710935382 NPPES
Michigan MEDICAID 1710935382
Michigan MEDICAID 4331905

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