Lawrence B Damiani, D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

5101006523 Issued in MI

Practice address

3903 Hollywood Rd
Saint Joseph, MI 49085-9149

Phone

(269) 408-1100

Fax

(269) 408-1329

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619960010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-408-1100",
            "fax_number": "269-408-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-408-1100",
            "fax_number": "269-408-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANI",
        "first_name": "LAWRENCE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101006523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5101006523",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4512212",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rashmi Giselle D'Mello, M.D.
• Kristi Ann Daane, LMSW ACSW
• Lisa Marie Dalgleish, R. D.
• Barbara Jane Dallas, MA, CCC-SLP
• Rachel Damaske, PHARMD
• Bethany Darling
• Crystal Faith Darling, MD
• Daniel Davenport, PA-C
• Elizabeth Sarah Davenport, PHARMD
• Jonathan David, LLPC

• Gastroenterology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.