Individual
LISA HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12154 175TH AVE, BIG RAPIDS, MI 49307-9555
(231) 796-5673
Mailing address
12154 175TH AVE, BIG RAPIDS, MI 49307-9555
(231) 796-5673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703094913
MI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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