Individual
LAURIE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRADITIONAL MIDWIFE
Contact information
Practice address
244 DALE ST NE, GRAND RAPIDS, MI 49505-4717
(616) 914-6041
Mailing address
244 DALE ST NE, GRAND RAPIDS, MI 49505-4717
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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