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1104994359
LAWRENCE HALL
GRAND RAPIDS, MI
NPI
1104994359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301053192)
Enumeration Date
2006-12-04
Last Update Date
2009-10-29
Business Address
-- LAWRENCE HALL MD
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-8274
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Mailing Address
-- LAWRENCE HALL MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-8274
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