Individual
DR. LAURA J PIIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301070065
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180046322
MEDICARE RR
MI
05
—
4502350
—
MI
Enumeration date
06/13/2005
Last updated
06/09/2008
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