Provider Demographics
NPI:1912317389
Name:LAWRENCE, CHRISTIN (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C&W MOTT HOSPITAL, 1540 E MEDICAL CENTER DR
Mailing Address - Street 2:8-621
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-0100
Mailing Address - Country:US
Mailing Address - Phone:734-232-0334
Mailing Address - Fax:
Practice Address - Street 1:C&W MOTT, 1540 E MEDICAL CENTER DR
Practice Address - Street 2:8-621
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-0100
Practice Address - Country:US
Practice Address - Phone:734-232-0334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101021068208000000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics