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

Lawrence I Mallon, MD

Individual provider Vascular Surgery Physician · NPI 1194788943

Lawrence I Mallon, MD is a Vascular Surgery in Muskegon, Michigan. Graduated from University of Kentucky College of Medicine in 1997, 29 years ago. Practices with Muskegon Surgical Associates PC, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Trained at
University of Kentucky College of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone: (231) 739-9461
Fax: (231) 733-8131
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence O73866 (MI)

Record details

NPI number1194788943
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1316 Mercy Dr, Muskegon, MI 49444-1835

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Muskegon Surgical Associates Pc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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