LAPEER — For more than two decades, the medical practitioners at Lapeer Medical Associates (LMA) have been providing high quality, affordable care to keep Lapeer-area families healthy.. LMA was started in 1999 by pediatrician Mark Braniecki, D.O. and family practitioners Timothy Piontkowski, D.O. and Albert Smith, Jr., D.O. Curt Coulter, D.O. joined the practice in 2001..