Individual
LISA HOVINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 MICHIGAN ST NE FL 2, GRAND RAPIDS, MI 49503-2514
(616) 267-1925
(616) 267-1005
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704194168
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704194168
NP LICENSE
MI
Enumeration date
11/17/2010
Last updated
05/08/2025
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