Individual
LISA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
311 STATE ST SE, GRAND RAPIDS, MI 49503-4312
(269) 986-6040
Mailing address
311 STATE ST SE, GRAND RAPIDS, MI 49503-4312
(269) 986-6040
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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