Individual
SUSAN G LAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
35 MICHIGAN ST NE STE 4150, GRAND RAPIDS, MI 49503-2529
(616) 267-2600
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
085001690
IL
363AS0400X
Surgical Physician Assistant
Primary
5601004974
MI
Other
Enumeration date
05/30/2006
Last updated
03/02/2021
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