Individual
LAUREN JEAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-5609
(616) 267-7888
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704313798
MI
Other
Enumeration date
02/26/2021
Last updated
03/11/2022
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