Provider Demographics
NPI:1497766406
Name:LAWRENCE M DELL, MD, PC
Entity Type:Organization
Organization Name:LAWRENCE M DELL, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-668-0900
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 RD
Practice Address - Street 2:SUITE 1010
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2184
Practice Address - Country:US
Practice Address - Phone:248-668-0900
Practice Address - Fax:248-926-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center