Lawrence R Hennessey (NPI# 1629078142, PAC ID# 3971546623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1629078142 |
| PAC ID by PECOS | 3971546623 |
| Professional Enrollment ID | I20050603000873 |
| Full Name | Lawrence R Hennessey |
| Organization Legal Name | OKEMOS ALLERGY CENTER, P.C. |
| Address |
3955 Okemos Rd A1 Okemos MI 48864-3797 |
| Phone Number | 5173490027 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 1355384090 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| 230167 | MCLAREN GREATER LANSING |
| Address | Phone | Organization |
|---|---|---|
| 3955 Okemos Rd, A1, Okemos, MI 48864-3797 | 5173490027 | OKEMOS ALLERGY CENTER, P.C. |
| Organization Legal Name | OKEMOS ALLERGY CENTER, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Miller | Nurse Practitioner | Okemos Allergy Center, P.C. | 3955 Okemos Rd, A1, Okemos, MI 48864-3797 |
| Manoj Mohan | Allergy/immunology | Okemos Allergy Center, P.C. | 3955 Okemos Rd, A1, Okemos, MI 48864-3797 |
| Kamal Mohan | Allergy/immunology | Okemos Allergy Center, P.C. | 3955 Okemos Rd, A1, Okemos, MI 48864-3797 |
| Street Address |
3955 OKEMOS RD A1 |
| City | OKEMOS |
| State | MI |
| Zip | 48864-3797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Miller | Nurse Practitioner | Okemos Allergy Center, P.C. | 3955 Okemos Rd, A1, Okemos, MI 48864-3797 |
| Manoj Mohan | Allergy/immunology | Okemos Allergy Center, P.C. | 3955 Okemos Rd, A1, Okemos, MI 48864-3797 |
| Kamal Mohan | Allergy/immunology | Okemos Allergy Center, P.C. | 3955 Okemos Rd, A1, Okemos, MI 48864-3797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Delass | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Andrew Bult | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Eric L Luttig | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Megan Brew | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Alexzanda Jo Johnson | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Anthony P. Salvador | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Melissa B Kong | Optometry | Rx Optical Laboratories, Inc. | 2285 W Grand River, Okemos, MI 48864-1649 |
| Zachary Charles Smith | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Steven C Clerc | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Eghosa Aimuamwosa Olomu | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Find all physicians in zip 48864 | |||
| City | OKEMOS |
| Zip Code | 48864 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | OKEMOS + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Lawrence R Hennessey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.