Individual
LILIET PERTIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2528
(616) 267-2200
Mailing address
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2528
(616) 267-2200
(616) 267-2202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5151016301
MI
2080P0214X
Pediatric Pulmonology Physician
Primary
5101029524
MI
Other
Enumeration date
04/11/2023
Last updated
06/06/2026
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