Individual ProviderCharles G. LawrencePediatricsAllopathic & Osteopathic PhysiciansPractice Address1200 56th St SW, Wyoming, MI 49509-9704(616) 243-5707(616) 863-6220PECOS EnrollmentBased on the most recent information from CMS, provider Charles G. Lawrence does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1164491684Provider TypeIndividualFull NameLawrence, Charles G.TitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/16/2006Last Updated1/19/2025Contact InformationPractice LocationPractice Address1200 56th St SW, Wyoming, MI 49509-9704Phone(616) 243-5707Fax(616) 243-1170Mailing LocationMailing Address8485 Algoma Ave NE, Rockford, MI 49341-9102Phone(616) 863-6220Fax(616) 863-6221Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense4301045903MichiganProvider IdentifiersIDDescriptionIssuerID4738247DescriptionMedicaidIssuerUnlistedMichiganID11281623DescriptionOtherIssuerCAQHMichigan