Individual
DR. LARA JEAN BAATENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6741 FULTON ST E STE 200, ADA, MI 49301-9502
(616) 290-1650
(833) 973-4117
Mailing address
950 36TH ST SW, WYOMING, MI 49509-3587
(616) 685-3300
(616) 685-3303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301109996
MI
Other
Enumeration date
06/27/2016
Last updated
02/11/2025
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