Individual
LAUREN BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16930 ROBBINS RD, GRAND HAVEN, MI 49417-2787
(616) 935-7606
Mailing address
15155 160TH AVE, GRAND HAVEN, MI 49417-8922
(616) 502-8424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005930
MI
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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