Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Edward Lawrence IV

Individual provider Physician Assistant · NPI 1891511879

John Edward Lawrence IV is a Physician Assistant in Traverse City, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2200 Dendrinos Dr
Traverse City, MI 49684-8070
Phone: (517) 294-0393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1891511879
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

Other providers in Traverse City