Individual
MR. LONNIE MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1877
MI
367H00000X
Anesthesiologist Assistant
67.000251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67.000251
OHIO LICENSE
OH
Enumeration date
06/17/2015
Last updated
04/02/2024
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