Provider Demographics
NPI:1205811551
Name:LALONDE, LAWRENCE LEE (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:LEE
Last Name:LALONDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5421 COLONY DR N
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-7128
Mailing Address - Country:US
Mailing Address - Phone:989-790-3141
Mailing Address - Fax:989-799-2442
Practice Address - Street 1:5421 COLONY DR N
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-7128
Practice Address - Country:US
Practice Address - Phone:989-790-3141
Practice Address - Fax:989-799-2442
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILL041173207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1528257821OtherPRIORITY HEALTH
MI102884676Medicaid
MI0807311461OtherBCBS PIN
MI1528257821OtherPRIORITY HEALTH
MIP22100001Medicare PIN