person
Lori Sue Nieboer, PA-C
Medical Physician Assistant in Rockford, Michigan
NPI 1174810667

Lori Sue Nieboer is a Medical Physician Assistant based in Rockford, MI and is specialized in Medical. Lori Sue Nieboer practices in Rockford, MI and has the professional credentials of PA-C. The NPI Number for Lori Sue Nieboer is 1174810667 and holds a License No. 006100 (Michigan).

The current practice location address for Lori Sue Nieboer is 4685 Belding Rd Ne, Rockford, MI and can be reached out via phone at 616-252-3100.

Location: 4685 Belding Rd Ne, Rockford, MI, 49341-9605
person
Provider Profile Details
NPI Number
1174810667
Provider Name
Lori Sue Nieboer
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4685 Belding Rd Ne, Rockford, MI, 49341-9605
Phone Number
616-252-3100
Fax Number
Provider Enumeration Date
07/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4685 Belding Rd Ne
City
State
Zip
49341-9605
Phone Number
616-252-3100
Fax Number
person
Provider Business Mailing Address Details
Address
4685 Belding Rd Ne
City
State
Zip
49341-9605
Phone Number
616-252-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
006100 (Georgia)
Definition
Definition to come...
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