Individual provider · Type 1 NPI

Samira Lawrence, CCPS

Prosthetic/Orthotic Supplier · Kalamazoo, MI

NPI number 1578490603 Active

Practice location

131 W South St
Kalamazoo, MI 49007-4710

Mailing address

126 E Kilgore Rd Ste 400
Portage, MI 49002-0596

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

About NPI 1578490603

Samira Lawrence, CCPS's National Provider Identifier is 1578490603, issued on May 5, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Kalamazoo, MI. The record was last updated on May 5, 2026.