Lawrence Desjarlais MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301058635 Issued in MI

Legal business name

LAWRENCE DESJARLAIS MD PC

Practice address

2000 Curtis Rd
Adrian, MI 49221-1752

Phone

(517) 264-5603

Fax

(517) 264-5708

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence John Desjarlais, MDNPI 1437116852

Title

Physician.Owner

Phone

(517) 264-5603

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Lawrence John Desjarlais, MD

  • Dermatology Physician
  • Adrian, MI
  • NPI 1437116852
  Medicare reassignment NPD Authorized official
• Gabrielle Groff, PA-C

  • Physician Assistant
  • Adrian, MI
  • NPI 1689387961
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1306027073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CURTIS RD",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211752",
            "telephone_number": "517-264-5603",
            "fax_number": "517-264-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CURTIS RD",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211752",
            "telephone_number": "517-264-5603",
            "fax_number": "517-264-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE DESJARLAIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "DESJARLAIS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN.OWNER",
        "authorized_official_telephone_number": "517-264-5603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301058635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSOF MICHIGAN",
            "identifier": "0704603132",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3109892",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Erin Lanzi
• Claudia Lark, LLPC
• John Anthony Lark, DDS
• Rosemary Elizabeth Larson Mendizabal, LMT
• Melissa Kay Larson, RN
• Brenda Lawson, CPSS
• Tricia Marie Lay
• Sofia R Lean, P.T.
• Amber M Lee
• Zachariah Vincent Lee

• Specialist in Adrian, MI
• Providers in Adrian, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.