Larry L Pack Md Pc

LBN: Larry L Pack Md Pc
Larry L Pack Md Pc is an health care organization with primary practice located at 2420 Owen Rd Ste C, Fenton MI 48430-3417. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Larry L Pack Md Pc can be contacted via phone (810) 750-5800, or through Pack, Larry L via phone (810) 750-5800.

Contact Information

Primary practice address
2420 Owen Rd Ste C Fenton MI 48430-3417
Phone: (810) 750-5800
Fax: (810) 750-5809
Website:
Map and Directions
Authorized official contact:
Name: Pack, Larry L Doctor of Medicine (MD)
Phone: (810) 750-5800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301035400 Michigan

Profile Details

NPI number 1780767145
LBN Legal business name Larry L Pack Md Pc
DBA Doing business as
Authorized official Pack, Larry L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2006
Last updated Apr 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780767145 NPPES
Michigan MEDICAID 4940460

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