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Individual

CAROLYN E LEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
100 MICHIGAN ST NE # MC020, GRAND RAPIDS, MI 49503-2560
(616) 391-1751
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704245454
MI
367A00000X
Advanced Practice Midwife
635895
NY
367A00000X
Advanced Practice Midwife
MW010129
PA

Other

Enumeration date
07/26/2006
Last updated
02/23/2021
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