Lawrence, Michael

Lawrence, Michael is an individual health care provider with primary practice located at 2301 N Lake Dr , Milwaukee WI 53211-4508. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lawrence, Michael can be contacted via phone (414) 585-1000.

Contact Information

Primary practice address
2301 N Lake Dr Milwaukee WI 53211-4508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1174-023 Wisconsin

Profile Details

NPI number 1992790505
LBN Legal business name Lawrence, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992790505 NPPES
Wisconsin MEDICAID 42987200

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