Prussack, Lawrence B
Prussack, Lawrence B is an individual health care provider with primary practice located at 6900 Orchard Lake Rd Ste 306, West Bloomfield MI 48322-3405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Prussack, Lawrence B can be contacted via phone (248) 855-6663.Contact Information
Primary practice address
6900 Orchard Lake Rd Ste 306
West Bloomfield MI 48322-3405
Phone: (248) 855-6663
Fax: (248) 855-7546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301043881 | Michigan |
Profile Details
| NPI number | 1962497248 |
|---|---|
| LBN Legal business name | Prussack, Lawrence B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jan 3rd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962497248 | NPPES |
| Michigan | MEDICAID | 2722284 |
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