Provider Demographics
NPI:1346291788
Name:FINN, LAWRENCE MURRAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MURRAY
Last Name:FINN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4385 STRATHDALE LN
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2852
Mailing Address - Country:US
Mailing Address - Phone:248-855-1163
Mailing Address - Fax:586-772-4151
Practice Address - Street 1:14036 STEPHENS RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089-2211
Practice Address - Country:US
Practice Address - Phone:586-772-3540
Practice Address - Fax:586-772-4151
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901011167122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2901011167OtherPROFESSIONAL LICENSE #