Lawrence M Fallat DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

LF000848 Issued in MI

Legal business name

LAWRENCE M FALLAT DPM PC

Practice address

20555 Ecorse Rd
Taylor, MI 48180-1992

Phone

(313) 389-2288

Fax

(313) 389-2286

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence Michael Fallat, DPMNPI 1871551226

Title

President

Phone

(313) 389-2288

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence M Fallat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Taylor, MI
  • NPI 1871551226
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Mariano, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wayne, MI
  • NPI 1144844671
  Medicare reassignment Care Compare group NPD
• Pamela Morrison, DPM

  • Podiatrist
  • Taylor, MI
  • NPI 1265516603
  Medicare reassignment Care Compare group NPD
• Sahjar Eljaua Velez

  • Foot & Ankle Surgery Podiatrist
  • Taylor, MI
  • NPI 1407586704
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1275617649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20555 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801992",
            "telephone_number": "313-389-2288",
            "fax_number": "313-389-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20555 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801992",
            "telephone_number": "313-389-2288",
            "fax_number": "313-389-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M FALLAT DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "FALLAT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-389-2288",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "LF000848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131352563",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0H27018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laske Family Chiropractic, P.C.
• Muhammad Latif
• Rabia Latif, TLLP
• Sue Laveck, 5302022995
• Lawrence B. Richard, D.P.M., P.L.L.C.
• Teresa Le
• Frederic Neal Leavitt, DDS
• Legacy Family Homes
• Wendy Katherine Lemere, CNP
• Allison Lennig, OTRL

• Podiatrist in Taylor, MI
• Providers in Taylor, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.