Individual
LISA ORANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
510 OLDFIELD DR SE, BYRON CENTER, MI 49315-8113
(616) 916-0016
Mailing address
510 OLDFIELD DR SE, BYRON CENTER, MI 49315-8113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704238856
MI
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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