Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 4301074831 | MI |
NPI | 1023117801 |
---|---|
Provider Name | Dr. Alane Marie Laws-Barker |
First Address | Lansing, MI 48901-3008 |
Second Address | Lansing, MI 48915-1925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1603311572 | BCBS INDIVIDUAL PIN (01) | MI |
4654236 | (05) | MI |
I22853 | (02) | MI |