person
Dr. Frederick Locke Lawrence III, MD
General Practice Physician in Roscommon, Michigan
NPI 1750497384

Frederick Locke Lawrence III is a General Practice Physician based in Roscommon, MI. Frederick Locke Lawrence III practices in Roscommon, MI and has the professional credentials of MD. The NPI Number for Frederick Locke Lawrence III is 1750497384 and holds a License No. FL040301 (Michigan).

The current practice location address for Frederick Locke Lawrence III is 108 N Main St, Roscommon, MI and can be reached out via phone at 989-275-8565 and via fax at 989-275-8746.

Location: 108 N Main St, Roscommon, MI, 48653-9261
person
Provider Profile Details
NPI Number
1750497384
Provider Name
Frederick Locke Lawrence III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
108 N Main St, Roscommon, MI, 48653-9261
Phone Number
989-275-8565
Fax Number
989-275-8746
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0107200022 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
108 N Main St
City
State
Zip
48653-7934
Phone Number
989-275-8565
Fax Number
989-275-8746
person
Provider Business Mailing Address Details
Address
108 N Main St
City
State
Zip
48653-7934
Phone Number
989-275-8565
Fax Number
989-275-8746
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
FL040301 (Michigan)
Definition
Definition to come...
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