Lawrence W Coryell, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301040697 Issued in MI

Practice address

804 Service Road
Room A204
East Lansing, MI 48824-7037

Phone

(517) 353-4920

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Msu Health Care Inc

  • Allergy & Immunology Physician
  • East Lansing, MI
  • NPI 1700418670
  Medicare reassignment NPD
• Bamf Health Inc

  • Radiology Clinic/Center
  • Grand Rapids, MI
  • NPI 1477289338
  NPD
• Radiology Regional Center, PA

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1780350504
  NPD
• Florida Radiology Consultants P a

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1518911668
  NPD (past)
• LMR Imaging

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1649263724
  NPD (past)
• Morgan Medical Corp

  • Diagnostic Radiology Physician
  • Titusville, FL
  • NPI 1679566756
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1710935382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD",
            "address_2": "ROOM A204",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247037",
            "telephone_number": "517-353-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD",
            "address_2": "ROOM A204",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247037",
            "telephone_number": "517-353-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORYELL",
        "first_name": "LAWRENCE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301040697",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301040697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710935382",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4331905",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cor Counseling Community Services and Clinical Supervision LLC
• Gracen Elizabeth Corcoran
• Edward Thomas Corner
• Cornerstone Family Practice, PLC
• Cathrine Ann Corwin, CPNP-AC
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Sandra Costello
• Stephen Michael Cottrell, LMSW

• Diagnostic Radiology Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.