Organization
FAMILY PRACTICE IN THE WOODS PC
Active
Other names
Advanced Laser Cosmetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL LAMAR STYER MD (OWNER)
(616) 399-9680
Entity
Organization
Contact information
Practice address
120 WAUKAZOO DR, HOLLAND, MI 49424-2556
(616) 399-9680
Mailing address
PO BOX 8155, HOLLAND, MI 49422-8155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301048380
MI
363L00000X
Nurse Practitioner
4704185046
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0807015771
DR. STYER'S BCBS NUMBER
MI
05
—
1749990
—
MI
05
—
4796877
—
MI
01
—
5008755300
AMY ROBBINS' BCBS NUMBER
MI
Enumeration date
04/25/2006
Last updated
11/23/2007
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