Lawrence, Charles G.

Lawrence, Charles G. is an individual health care provider with primary practice located at 1200 56Th St Sw , Wyoming MI 49509-9704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lawrence, Charles G. can be contacted via phone (616) 243-5707.

Contact Information

Primary practice address
1200 56Th St Sw Wyoming MI 49509-9704
Fax: (616) 243-1170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301045903 Michigan

Profile Details

NPI number 1164491684
LBN Legal business name Lawrence, Charles G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 20th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164491684 NPPES
Michigan MEDICAID 4738247
Michigan Other 11281623

Popular Providers