Most Relevant Information
Provider Data
NPI Number: | 1003556754 |
Provider Name: | LAURENCE ALEXANDER ROBERTS MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 03/30/2022 |
Last Updated: | 05/12/2024 |
Provider Practice Location
44405 WOODWARD AVE
PONTIAC
MI
483415023
Practice Location Phone/Fax
Phone: | 2488583000 |
Fax: |
Provider Mailing Location
44555 WOODWARD AVE STE 308
PONTIAC
MI
483415031
Provider Mailing Phone/Fax
Phone: | 2488586068 |
Fax: |