Hennessey, Lawrence R

Hennessey, Lawrence R is an individual health care provider with primary practice located at 325 Briarwood Cir , Ann Arbor MI 48108-1605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Hennessey, Lawrence R can be contacted via phone (734) 647-5940.

Contact Information

Primary practice address
325 Briarwood Cir Ann Arbor MI 48108-1605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X LH407112 Michigan
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 4301407112 Michigan

Profile Details

NPI number 1629078142
LBN Legal business name Hennessey, Lawrence R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Oct 11th, 2023 - about 3 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 1629078142 NPPES
Michigan MEDICAID 4744075

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