| Keith Lawrence, | |
|
200 Hemlock St, Tawas City, MI 48763-9237 | |
| (989) 362-9405 | |
| Not Available |
| Full Name | Keith Lawrence |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 Hemlock St, Tawas City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720017320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704154648 (Michigan) | Primary |
| Entity Name | Covenant Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225151897 PECOS PAC ID: 2769387778 Enrollment ID: O20040209001142 |
| Entity Name | Northstar Anesthesia of Michigan II PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Resource Anesthesiology Associates of Mi PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568755882 PECOS PAC ID: 4082883053 Enrollment ID: O20110808000715 |
| Entity Name | Asa Staffing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Lawrence, 744 W Michigan Ave, Jackson, MI 49201-1909 Ph: (517) 787-6440 | Keith Lawrence, 200 Hemlock St, Tawas City, MI 48763-9237 Ph: (989) 362-9405 |
Gordon Kalo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-0153 Fax: 989-362-4683 |
Sherry Donovan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-0153 Fax: 989-362-4683 |
Neal Mason, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-3411 |