| NPI | 1033328299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE HOWARD LAFOND President 810-227-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI B7509) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |