Individual
DR. LACEY JO-MORFORD BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0842
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0842
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301110007
MI
2084P0800X
Psychiatry Physician
Primary
4301502261
MI
2084P0800X
Psychiatry Physician
4351043930
MI
Other
Enumeration date
06/24/2016
Last updated
11/10/2025
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