Individual provider · NPI-1
Dr. Lawrence Lee Prokop, D.O.
Physical Medicine & Rehabilitation · Okemos, MI
NPI number1407944747
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1407944747
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lawrence Lee Prokop
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5101007980 | MI | Yes |
Practice location
3860 Dobie RdOkemos, MI 48864-3704
Phone 517-381-6100 · Fax 517-381-6201
Mailing address
804 Service Rd Ste A109bEast Lansing, MI 48824-7015
Phone 517-381-6100 · Fax 517-381-6201
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