Lawrence P Zablocki, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301053347 Issued in MI

Legal business name

LAWRENCE P ZABLOCKI, MD

Doing business as

Southfield Metabolic Support Assocaites

Practice address

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone

(248) 849-3000

NPI assigned

Apr 15, 2008

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence P Zablocki, MD

Title

President

Phone

(248) 788-2401

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southfield Metabolic Support Assocaites Doing business as

Locations

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1437323060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16013 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930160",
            "telephone_number": "248-788-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE P ZABLOCKI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "ZABLOCKI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-788-2401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301053347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F36159",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2743248",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southfield Metabolic Support Assocaites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Anne Lavoie, DO
• Emma Lavoy
• Kathleen Marie Law, N.P.
• Oluwaseyi Aminat Lawal, CRNA
• Patti Jonell Lawler
• Marshondra Scott Lawrence, LPC
• Thomas Lawrence, MA
• Tonja Y Lawrence, LLPC
• Olivia Lawson
• Laz Medical Group PC

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.