Lawrence-Friedl, Daryl M

Lawrence-Friedl, Daryl M is an sole proprietor health care provider with primary practice located at 877 Forest Hill Ave., Se, Suite C, Grand Rapids MI 49546-2380. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lawrence-Friedl, Daryl M can be contacted via phone (616) 954-0402.

Contact Information

Primary practice address
877 Forest Hill Ave., Se, Suite C Grand Rapids MI 49546-2380
Fax: (616) 954-0404
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101010305 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101010305 Michigan

Profile Details

NPI number 1124083365
LBN Legal business name Lawrence-Friedl, Daryl M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated May 2nd, 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 1124083365 NPPES
Michigan MEDICAID 1639382211
Michigan Other DH2054
Michigan Other 0D12216

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