Individual
DR. LISA HOEKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
311 STATE ST SE, GRAND RAPIDS, MI 49503-4312
(616) 249-0159
(333) 936-7898
Mailing address
311 STATE ST SE, GRAND RAPIDS, MI 49503-4312
(616) 249-0159
(833) 393-6789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LH062137
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063518785
—
MI
Enumeration date
09/16/2006
Last updated
07/03/2024
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