Dr Frederick Locke Lawrence Iii, MD is a
General Practice physician based in Roscommon, Michigan. Dr Frederick Locke Lawrence Iii is licensed to practice in Michigan (license number FL040301) and his current practice location is 108 N Main St, Roscommon, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 275-8565.
NPI number for Dr Frederick Locke Lawrence Iii is 1750497384 and his current mailing address is 249 Rising Fawn Trl, Roscommon, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750497384.
Physician's Profile
| Full Name | Dr Frederick Locke Lawrence Iii |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 108 N Main St, Roscommon, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750497384
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Frederick Locke Lawrence Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750497384 | NPI | - | NPPES |
| 0107200022 | Other | MI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | FL040301 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Frederick Locke Lawrence Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Frederick Locke Lawrence Iii, MD
249 Rising Fawn Trl,
Roscommon, MI 48653-9261
Ph: (989) 275-8565 | Dr Frederick Locke Lawrence Iii, MD
108 N Main St,
Roscommon, MI 48653-7934
Ph: (989) 275-8565 |
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