Provider Demographics
NPI:1336195809
Name:LPRLS, PLC
Entity Type:Organization
Organization Name:LPRLS, PLC
Other - Org Name:METRO FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING DEPARTMENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-228-3991
Mailing Address - Street 1:37399 GARFIELD RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3659
Mailing Address - Country:US
Mailing Address - Phone:586-228-2911
Mailing Address - Fax:586-228-2901
Practice Address - Street 1:37399 GARFIELD RD
Practice Address - Street 2:SUITE 203
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3659
Practice Address - Country:US
Practice Address - Phone:586-228-2911
Practice Address - Fax:586-228-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty