Provider Demographics
NPI:1184660490
Name:DELL, LAWRENCE M (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:M
Last Name:DELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 251325
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48325-1325
Mailing Address - Country:US
Mailing Address - Phone:248-668-0900
Mailing Address - Fax:248-926-9112
Practice Address - Street 1:2300 HAGGERTY ROAD
Practice Address - Street 2:SUITE 1010
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323
Practice Address - Country:US
Practice Address - Phone:248-668-0900
Practice Address - Fax:248-926-9112
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010530888207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2716788Medicaid
MI2716788Medicaid