Individual
KIMBERLY LANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2373 64TH ST SW, STE 1300, BYRON CENTER, MI 49315-7974
(616) 685-1350
Mailing address
576 68TH ST SE, GRAND RAPIDS, MI 49548-6931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704186701
MI
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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