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Lara Dengerink-vantil, NP
Gerontology Nurse Practitioner in Grand Rapids, Michigan
NPI 1679023501

Lara Dengerink-vantil is a Gerontology Nurse Practitioner based in Grand Rapids, MI and is specialized in Gerontology. Lara Dengerink-vantil practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Lara Dengerink-vantil is 1679023501 and holds a License No. 4704302218 (Michigan).

The current practice location address for Lara Dengerink-vantil is 25 Michigan St Ne Ste 2100, Grand Rapids, MI and can be reached out via phone at 616-391-3777.

Location: 25 Michigan St Ne Ste 2100, Grand Rapids, MI, 49503-2560
person
Provider Profile Details
NPI Number
1679023501
Provider Name
Lara Dengerink-vantil
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
25 Michigan St Ne Ste 2100, Grand Rapids, MI, 49503-2560
Phone Number
616-391-3777
Fax Number
Provider Enumeration Date
10/04/2016
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
25 Michigan St Ne Ste 2100
City
State
Zip
49503-2526
Phone Number
616-391-3777
Fax Number
person
Provider Business Mailing Address Details
Address
25 Michigan St Ne Ste 2100
City
State
Zip
49503-2526
Phone Number
616-391-3777
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704302218 (Michigan)
Definition
Definition to come...
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