Individual
JACOB LEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
588 E LAKEWOOD BLVD, HOLLAND, MI 49424-2023
(616) 494-5800
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013440
MI
Other
Enumeration date
01/06/2020
Last updated
01/06/2026
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