Laurence Tan Co, M.D.
Individual provider Active NPI Psychiatry Physician · Caro, MI
NPI 1659484111 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659484111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- LC048810 (MI)
- Practice address
- 2000 Chambers Road
Caro, MI 48723-9296 - Phone
- (989) 673-3191
- Fax
- (989) 673-0064
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC048810 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Michigan Office of Financial Management | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LC048810 | MI | Yes |
Addresses
Primary practice location
2000 Chambers Road
Caro, MI 48723-9296
Mailing address
2000 Chambers Road
Caro, MI 48723-9296
Phone (989) 673-3191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2607910952 | Other | MI | BLUE CROSS BLUE SHIELD |
Other providers in Caro, MI
- Cynthia Chapman
- Chiropractic Wellness Center of Caro PLLC
- Tamara Claes
- William Francis Clark
- Keith Clement
- Paula Cheryl Coats-Garrett
- Gloria Coats
- William Andrew Coffey
- Community Therapy
- Comprehensive Pain Specialists, PLLC
All providers in Caro, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.