1487828422 NPI number — MR. LAWRENCE MICHAEL OSHIER M.A.

Table of content: MR. LAWRENCE MICHAEL OSHIER M.A. (NPI 1487828422)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487828422 NPI number — MR. LAWRENCE MICHAEL OSHIER M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OSHIER
Provider First Name:
LAWRENCE
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.A.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487828422
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1520 S LAPEER RD
Provider Second Line Business Mailing Address:
SUITE 218
Provider Business Mailing Address City Name:
LAKE ORION
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48360-1454
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-693-4629
Provider Business Mailing Address Fax Number:
248-693-6718

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
72 S WASHINGTON ST
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
OXFORD
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48371-4973
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-693-4629
Provider Business Practice Location Address Fax Number:
248-693-6718
Provider Enumeration Date:
04/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  6301002405 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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