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Individual

KELLY JO LUBBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP

Contact information

Practice address
2845 44TH ST SW STE 200, GRANDVILLE, MI 49418-2678
(616) 538-2410
Mailing address
5553 STEVENDALE DR, HUDSONVILLE, MI 49426-8499
(616) 540-6516

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
212110859-3
MI

Other

Enumeration date
08/23/2021
Last updated
07/26/2022
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