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Contact Information

LAWRENCE W CORYELL, MD
804 SERVICE ROAD
ROOM A204
EAST LANSING, MI48824-7037
 Phone: 517-353-4920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for LAWRENCE W CORYELL · (Male)

NPI # 1710935382
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 08/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301040697
  • MI Medicaid 1710935382
  • MI Medicaid 4331905
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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