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Organization

LONSON L BARR, D.O., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LONSON L BARR D.O. (PRESIDENT & PHYSICIAN)
(616) 246-6262
Entity
Organization

Contact information

Practice address
1945 BOSTON ST SE, STE 303, GRAND RAPIDS, MI 49506-4100
(616) 246-6262
(616) 246-8737
Mailing address
1945 BOSTON ST SE, STE 303, GRAND RAPIDS, MI 49506-4100
(616) 246-6262
(616) 246-8737

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101005711
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1767521
MI
Enumeration date
08/29/2007
Last updated
08/29/2007
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