Individual provider Active NPI

Donald W Lawrenchuk, M.D., MPH

  • Public Health or Welfare Agency
  • Howell, MI
National Provider Identifier
1386839181
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
4301044229 Issued in MI
Practice address
2300 E Grand River Ave
Suite 102
Howell, MI 48843-7574
Phone
(517) 552-6830
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 4301044229 MI Primary

Addresses

Primary practice location

2300 E Grand River Ave
Suite 102
Howell, MI 48843-7574

Mailing address

2300 E Grand River Ave
Suite 102
Howell, MI 48843-7574
Phone (517) 552-6830

Other identifiers 1

IdentifierTypeStateIssuer
4798737MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301044229MIMDPublic Health or Welfare Agency

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1386839181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E GRAND RIVER AVE",
            "address_2": "SUITE 102",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437574",
            "telephone_number": "517-552-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E GRAND RIVER AVE",
            "address_2": "SUITE 102",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437574",
            "telephone_number": "517-552-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCHUK",
        "first_name": "DONALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "4301044229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4798737",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.