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Lydia Charlene Wollak
Other Technician in East Grand Rapids, Michigan
NPI 1972155034

Lydia Charlene Wollak is a Other Technician based in Holland, MI. Lydia Charlene Wollak practices in East Grand Rapids, MI. The NPI Number for Lydia Charlene Wollak is 1972155034 and holds a License No. (Michigan).

The current practice location address for Lydia Charlene Wollak is 2814 Woodcliff Cir Se, East Grand Rapids, MI and can be reached out via phone at 855-832-6727.

Location: 2814 Woodcliff Cir Se, East Grand Rapids, MI, 49423-7106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972155034
Provider Name
Lydia Charlene Wollak
Credential
Provider Entity Type
Individual
Gender
Female
Address
2814 Woodcliff Cir Se, East Grand Rapids, MI, 49423-7106
Phone Number
855-832-6727
Fax Number
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
247200000X 05 MI
institution
Provider Business Practice Location Address Details
Address
2814 Woodcliff Cir Se
City
East Grand Rapids
State
Michigan
Zip
49506-3155
Phone Number
855-832-6727
Fax Number
person
Provider Business Mailing Address Details
Address
2814 Woodcliff Cir Se
City
East Grand Rapids
State
Michigan
Zip
49506-3155
Phone Number
855-832-6727
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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