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Individual

JENNIFER MARIE LACHAPELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-3139
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
4301088899
MI
208000000X
Pediatrics Physician
01061903A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000271940
HMSA
HI
05
613738-02
HI
Enumeration date
06/28/2006
Last updated
03/01/2018
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