Provider Demographics
NPI:1265411425
Name:CAIRNS, LAWRENCE CHRISTIE (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:CHRISTIE
Last Name:CAIRNS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:11671 RED BUD TRL
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-9200
Mailing Address - Country:US
Mailing Address - Phone:269-473-5841
Mailing Address - Fax:269-473-2883
Practice Address - Street 1:431 UPTON DR
Practice Address - Street 2:EDGEWATER CENTER
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1058
Practice Address - Country:US
Practice Address - Phone:269-982-3366
Practice Address - Fax:269-982-4170
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301049836207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4790855Medicaid
MI4790855Medicaid